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[产后特发性急性胰腺炎:诊断困难(病例报告)]

[Postpartum idiopathic acute pancreatitis: diagnostic difficulties (case report)].

作者信息

Jallouli Abderrahmane, Baba Hicham, Zeroual Ahmed, Ramraoui Mohamed Es-Said, Elguazzar Ahmed, Lahkim Mohammed, Khader Ahmed El, Barni Rachid El

机构信息

Service de Chirurgie Générale, Hôpital Militaire Avicenne de Marrakech, Marrakech, Maroc.

Faculté De Médecine et de Pharmacie, Université Cadi Ayyad de Marrakech, Maroc.

出版信息

Pan Afr Med J. 2022 Jan 18;41:48. doi: 10.11604/pamj.2022.41.48.31342. eCollection 2022.

Abstract

Acute pancreatitis during the postpartum period or during pregnancy is rare. Biliary disease is the most common cause of acute pancreatitis, followed by hypertriglyceridemia. We here report the case of a 19-year-old patient with acute pancreatitis occurring 4 weeks after delivery and revealed by epigastralgia radiating to the back, lipasemia more than 36 times the normal limit and etiologic investigation that gave negative results. Early diagnosis of acute pancreatitis during the postpartum period is a challenge for clinicians because it is rare and differential diagnosis includes multiple disorders.

摘要

产后或孕期发生急性胰腺炎较为罕见。胆道疾病是急性胰腺炎最常见的病因,其次是高甘油三酯血症。我们在此报告一例19岁患者,产后4周发生急性胰腺炎,表现为上腹部疼痛放射至背部、脂肪酶血症超过正常上限36倍,病因调查结果为阴性。产后急性胰腺炎的早期诊断对临床医生来说是一项挑战,因为其较为罕见,鉴别诊断包括多种疾病。

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