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[Acute pancreatitis induced by major hypertriglyceridemia during pregnancy. A case report].
- Source :
-
Journal de gynecologie, obstetrique et biologie de la reproduction [J Gynecol Obstet Biol Reprod (Paris)] 2009 Sep; Vol. 38 (5), pp. 436-9. Date of Electronic Publication: 2009 May 23. - Publication Year :
- 2009
-
Abstract
- A parturient in the 37th week of gestation is referred to the obstetrical emergency ward for an acute abdominal pain with vomiting and fever. Few hours after her admission, a caesarean section is performed for acute fetal distress. It gave birth to a 3940 g healthy newborn. An abundant and milky peritoneal fluid is noted during the C-section related to a major hypertriglyceridemia (84,47 g/L) which induced an acute pancreatitis explaining the early symptoms. The patient is then hospitalized in surgical reanimation: heparin and a low fat diet led to a quick decrease of triglyceridemia and the healing of the acute pancreatitis. We review the most recent literature about acute pancreatitis during pregnancy, especially induced by hypertriglyceridemia, and the different management option: heparin, parenteral nutrition or plasmapheresis.
- Subjects :
- Abdominal Pain etiology
Acute Disease
Adult
Anticoagulants therapeutic use
Diet, Fat-Restricted
Female
Fetal Distress etiology
Fetal Distress surgery
Heparin therapeutic use
Humans
Hypertriglyceridemia diagnosis
Hypertriglyceridemia therapy
Pancreatitis diagnosis
Pancreatitis therapy
Pregnancy
Pregnancy Complications blood
Pregnancy Complications therapy
Triglycerides blood
Vomiting etiology
Cesarean Section
Hypertriglyceridemia complications
Pancreatitis complications
Pregnancy Complications diagnosis
Subjects
Details
- Language :
- French
- ISSN :
- 0368-2315
- Volume :
- 38
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal de gynecologie, obstetrique et biologie de la reproduction
- Publication Type :
- Academic Journal
- Accession number :
- 19477080
- Full Text :
- https://doi.org/10.1016/j.jgyn.2009.04.006