Document Detail


Acute necrotizing pancreatitis complicating uteroplacental apoplexy.
MedLine Citation:
PMID:  17389193     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Abruptio placentae induced by acute pancreatitis during pregnancy is very rare. We present a pregnant woman with a series of complications due to acute necrotizing pancreatitis. CASE REPORT: Presented herein is a 21-year-old, nulliparous woman at 33 weeks' gestation. The initial episode of abdominal pain was thought to be acute appendicitis (which in actuality was identified to be acute pancreatitis) and was complicated with abruptio placentae, uteroplacental apoplexy, and intrauterine fetal demise. Sterile necrotizing pancreatitis was confirmed by computerized axial tomography and total negativity of bacterial cultures taken from blood and ascites during the hospitalization. Nonsurgical management with conservative treatment was employed and the patient recovered gradually. CONCLUSION: Acute pancreatitis is difficult to diagnose during pregnancy. It presents as a systemic inflammatory response syndrome resulting in hemodynamic changes and may lead to abruptio placentae. Nonsurgical conservative treatment may be useful in such patients.
Authors:
Chong-U Cheang; Sai-Wai Ho; Yi-Torng Tee; Chi-Feng Su; Gin-Den Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  46     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-28     Completed Date:  2007-06-12     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  64-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Kiang Wu Hospital, Macau, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Adult
Appendicitis / diagnosis
Diabetes Complications / diagnosis,  therapy
Diagnosis, Differential
Female
Humans
Pancreatitis, Acute Necrotizing / complications*,  diagnosis,  therapy
Placenta Diseases / diagnosis*,  therapy
Pregnancy
Pregnancy Outcome
Treatment Outcome
Uterine Hemorrhage / complications*,  diagnosis,  therapy
Uterus / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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