The incidence is about 0.1 per 1000 pregnancies and is rarely seen in early pregnancy.
Common causes are gallstones, medications, infections, alcohol, hyperlipidemia.
Severe epigastric pain radiating to the back accompanied by nausea, vomiting and fever is typical of acute pancreatitis.
Patients may try to decrease discomfort by assuming a position of flexed knees, hips and trunk.
An elevated amylase to creatinine clearance ration in pregnant patients is more indicative of pancreatits than amylases levels which rise during pregnancy and also with cholecystitis, bowel obstruction and ruptured ectopic pregnancy. diagnosis
USG may show dilated pancreatic ducts.
The Acute pancreatic is a the suddenly inflammable of the pancreas manifesting clinical by abdominal pain, nausea and dehydration that is usually self guidelines
limiting but occasional progress to severe diseases and even death. There are many causes of acute pancreatitis and
two most common being alcohol use and gallbladder/bile duct disease. Severe In this review we used to discuss the specific case of acute pancreatitis in
pregnancy.while acute pancreatitis is responsible for almost 1 out of every 200 hospital admission in the UN annually fortunately the rate of acute
pancreatitis in pregnancy is rare. It is estimating the contents that acute pancreatitis occurs in about 1 out of every 10000 pregnancies .
however this
rate varies depending on the region and the types of hospital. Most cases of acute pancreatitis in pregnancy are caused due to gallstone disease.
it is thought with the weight and hormonal changes induced by pregnancies, gallstones are more like to form and then travel down to the common bile duct to
obstruct the pancreas duct outflow. Another proposed mechanism for acute pancreatitis in pregnancies is high fat levels in the blood called triglycerides.
Again the hormonal change of pregnancies can predispose certain women to developing this condition. When the triglyceride levels that is to become too high
oxygen cannot adequately travel to the pancreatis via the bloodstream and pancreatitis can ensure Of course all of the other reasons for developing acute
pancreatitis alcohol use reaction to certain medications trauma to the pancreatic ducile can also leading to acute pancreatitis in pregnancies.
The treatment of acute pancreatitis in pregnancy is similar to that of non-pregnancies patients with some exception Resting the digestive tract by not eating pain control
and aggressive fluid that is given through an IV line are essentials. Typical if the reason is gallstone pancreatitis removal of the gallbladder is deferred
until after pregnancy. Often a stent placed into the bile duct can be placed to temporizing the situations until the operative resection is needed. However
if waiting until the end of pregnancy is not possible surgical resection etiology can generally be performed safely. If the cause of acute pancreatis is due
to triglycerides certain medications and dietary modifications can be used to help prevent the case during recurrent attacks.if the attack occurs late in the
third trimesters delivers is usually advocated as this will cause an immediate decrease in the triglycerides level. Other causes of acute pancreatitis, such
as traumatic ductal injury, need to be carefully assessing on an individual basis.Fortunately the rate of maternal mortality is less than 1% for acute
pancreatitis in pregnancy. The rate of during preterm deliveries. however is about 20%. Also in patients with non gallstone pancreatitis the rate of
preterm delivery appears to be somewhat higher. It is very important therefore that pregnant patients are present as soon as possible to the emergency room.
for evaluation should they develop any abnormal abdominal pain symptoms.
while a rare event acute pancreatis does occuring during in pregnancy.
Fortunately if treated early, generally pre-term labor can be avoided and the
incidence of recurrent attacks that is used to minimized.
