Chandra Sanyogita, Kappenman Amanda
University of South Dakota Sanford School of Medicine.
S D Med. 2022 Aug;75(suppl 8):s20.
Acute gallstone pancreatitis is a rare occurrence in pregnancy and the postpartum period. However, gallstone pancreatitis should be considered in a differential diagnosis for right upper quadrant (RUQ) pain in this population, as the risk of biliary stasis and gallstone formation increases in pregnancy due to high levels of circulating estrogen causing increased cholesterol formation and delayed gallbladder emptying. Although gallstones are the most common cause of acute pancreatitis in pregnancy, alcohol use and hypertriglyceridemia may also be considered. In this case report, we present a G1P0 female pregnant with monochorionic diamniotic twins who developed postpartum acute gallstone pancreatitis status post Cesarean section.
急性胆石性胰腺炎在妊娠和产后时期较为罕见。然而，鉴于孕妇群体中循环雌激素水平升高导致胆固醇生成增加和胆囊排空延迟，进而使胆汁淤积和胆石形成风险增加，对于该群体的右上腹疼痛进行鉴别诊断时应考虑胆石性胰腺炎。尽管胆石是妊娠期间急性胰腺炎最常见的病因，但也可能需要考虑酒精使用和高甘油三酯血症。在本病例报告中，我们呈现了一位怀有单绒毛膜双羊膜囊双胎的初产妇，她在剖宫产术后发生了产后急性胆石性胰腺炎。
