Author(s): Charepe, N ; Rodrigues, AS ; Massa, AC ; Alves, MJ
Date: 2019
Persistent ID: http://hdl.handle.net/10400.17/4167
Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
Subject(s): Recurrent acute pancreatitis; Pregnancy; Cholelithiasis; MAC OBS
Introduction: During pregnancy pancreatitis is a rare and diagnosis is difficult. Cholelithiasis is the most frequent risk factor. Case report: A 26-year-old pregnant woman with abdominal pain, vomiting and low-grade fever. Hyperamylasemia and cholelithiasis was found and pancreatitis diagnosis was made. A second episode of acute pancreatitis was observed and treated with medical therapy. There was no foetal or neonatal complications. In puerperium a third pancreatitis occurred, a laparoscopic cholecystectomy was performed. Discussion: Diagnosis of acute pancreatitis in pregnancy is challenging and it may have serious maternal-fetal implications. Recurrent pattern should be taken into account when choosing the best treatment.
