Acute necrotizing pancreatitis in a pregnant female diagnosed after caesarian delivery: a case report

Authors

  • Foram P. Acharya Department of Obstetrics and Gynecology, Smt. NHL Municipal Medical College, SVPIMSR, Gujarat University http://orcid.org/0000-0003-0827-6573
  • Aditya A. Mukim Department of Surgery, Smt. NHL Municipal Medical College, SVPIMSR, Gujarat University
  • Prashant V. Acharya Department of Obstetrics and Gynecology, Smt. NHL Municipal Medical College, SVPIMSR, Gujarat University

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205276

Keywords:

Acute necrotizing pancreatitis, Pancreatitis in pregnancy, Fenton’s repair

Abstract

Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10,000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. A 21 years old, primigravida presented to labour room at 33 weeks 2 days of gestation with complaint of abdominal pain. Per vulval finding showed pin-point vagina. (patient had history of transverse vaginal septum, and was operated for the same before conception). Patient was operated for caesarian delivery and Fenton’s repair done. Contrast-enhanced computed tomography showed signs of acute necrotizing pancreatitis with peripancreatic collection. AP in pregnancy remains a challenging clinical problem to manage. The general management of AP in pregnancy is supportive.

Author Biography

Foram P. Acharya, Department of Obstetrics and Gynecology, Smt. NHL Municipal Medical College, SVPIMSR, Gujarat University

2nd Year Resident

Department of Obstetrics and Gynecology

Smt. NHL Municipal Medical College

SVPIMSR,

Ahmedabad

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Published

2020-11-26

Issue

Section

Case Reports