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The pancreas problem in pregnancy

Pavan Bhargava B C,Chandrashekhar Shrivastava,Sarita Rajbhar.




Abstract
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Introduction
Acute pancreatitis is the acute onset inflammation of the pancreas. The etiology is multifactorial, and gall stone induced pancreatitis is the commonest precipitator. Others are hypertriglyceridemia and alcohol. In pregnancy, pancreatitis becomes a substantial addition to morbidity and mortality.The disease may be mild, moderate or severe. The presentation is sudden onset acute upper abdominal pain in most cases. Diagnosis in pregnancy is chiefly by abdominal ultrasonography. Elevated serum amylase and serum lipase are chief biochemical markers.
Case series
We present three cases of acute pancreatitis with three varied etiologies. We resorted to conservative management. However, the outcomes were varied.
Conclusion
Acute pancreatitis is life threatening medical problem in pregnancy. A multidisciplinary approach and timely intervention can help in achieving best possible outcomes.

Key words: obstetric medical disease , gallstones, hypertriglyceridemia, alcohol






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