Seo Dajeong, Suh Hyojin, Lee Jun Kyu, Jang Dong Kee, Kwon Ha Yan, Lee Chae Hyeong, Yoon Sang Ho, Roh Ju-Won, Park Hyun Soo
Department of Obstetrics and Gynecology, Dongguk University Ilsan Hospital, Goyang, Korea.
Division of Gastroenterology & Hepatology, Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
Obstet Gynecol Sci. 2017 Sep;60(5):485-489. doi: 10.5468/ogs.2017.60.5.485. Epub 2017 Sep 18.
Estrogens are commonly used in gynecologic area, such as oral contraception, hormone replacement therapy, and fertilization-embryo transfer. Although estrogen is a common cause of acute drug-induced pancreatitis, there has been paucity of report in Korea. Clinical course of estrogen-induced acute pancreatitis is usually mild to moderate, but fetal case can occur. In addition, there can be a latency from the first administration to the symptom. Therefore, physicians should consider the possibility of the disease when a woman taking estrogen or previous history of taking estrogen presents with acute abdominal pain. Here, we report a case of estrogen-induced acute pancreatitis that occurred during the preparation for embryo transfer.
雌激素常用于妇科领域,如口服避孕药、激素替代疗法和体外受精-胚胎移植。尽管雌激素是急性药物性胰腺炎的常见病因,但韩国关于这方面的报道较少。雌激素诱导的急性胰腺炎的临床过程通常为轻至中度,但也可能出现重症病例。此外,从首次用药到出现症状可能有一段潜伏期。因此,当服用雌激素或有服用雌激素病史的女性出现急性腹痛时,医生应考虑该病的可能性。在此,我们报告一例在胚胎移植准备过程中发生的雌激素诱导的急性胰腺炎病例。