Acute pancreatitis in pregnancy: review of three cases and anaesthetic management

Hypercalcaemia is rare in pregnancy and is under diagnosed owing to its non-specific presentation which is frequently attributed to the pregnancy itself. Severe hypercalcaemia presents a therapeutic challenge, especially during pregnancy. The present case of a 26-year-old primigravida who presented with acute pancreatitis is described here. The pancreatitis was found to be secondary to parathyroid adenoma- induced hypercalcaemia. After initial conservative medical management with subcutaneous and intranasal calcitonin, she underwent a small-incision adenoma excision. This unusual cause and presentation of hypercalcaemia and its management is reviewed thereof.

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Hyperlipidemia in pregnancy

Orvosi Hetilap ◽

10.1556/oh.2011.29108 ◽

2011 ◽

Vol 152 (19) ◽

pp. 753-757 ◽

Cited By ~ 1

Author(s):

Tatjána Ábel ◽

Anna Blázovics ◽

Márta Kemény ◽

Gabriella Lengyel

Keyword(s):

Cardiovascular Disease ◽

Acute Pancreatitis ◽

Cohort Studies ◽

Pregnant Women ◽

Breast Feeding ◽

Normal Pregnancy ◽

Large Cohort ◽

Physiological Changes ◽

Teratogenic Effects ◽

In Pregnancy

Physiological changes in lipoprotein levels occur in normal pregnancy. Women with hyperlipoproteinemia are advised to discontinue statins, fibrates already when they consider pregnancy up to and including breast-feeding the newborn, because of the fear for teratogenic effects. Hypertriglyceridemia in pregnancy can rarely lead to acute pancreatitis. Management of acute pancreatitis in pregnant women is similar to that used in non-pregnant patients. Further large cohort studies are needed to estimate the consequence of supraphysiologic hyperlipoproteinemia or extreme hyperlipoproteinemia in pregnancy on the risk for cardiovascular disease later in life. Orv. Hetil., 2011, 152, 753–757.

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Thirty-eight cases of acute pancreatitis in pregnancy: A 6-year single center retrospective analysis

Journal of Huazhong University of Science and Technology [Medical Sciences] ◽

10.1007/s11596-013-1125-8 ◽

2013 ◽

Vol 33 (3) ◽

pp. 361-367 ◽

Cited By ~ 18

Author(s):

Dong-lin Zhang ◽

Yi Huang ◽

Li Yan ◽

Amy Phu ◽

Xiao Ran ◽

...

Keyword(s):

Acute Pancreatitis ◽

Retrospective Analysis ◽

Single Center ◽

In Pregnancy

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Analysis of Diagnosis and Treatment of Acute Pancreatitis in Pregnancy

Asian Case Reports in Emergency Medicine ◽

10.12677/acrem.2021.94006 ◽

2021 ◽

Vol 09 (04) ◽

pp. 31-34

Author(s):

珍徐

Keyword(s):

Acute Pancreatitis ◽

Diagnosis And Treatment ◽

In Pregnancy

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Obstetric anaesthesia and analgesia

10.1093/med/9780198853053.003.0035 ◽

2021 ◽

pp. 837-898

Author(s):

James Eldridge ◽

Nicola Cox ◽

Alisha Allana ◽

Heidi Lightfoot

Keyword(s):

Pregnant Patient ◽

Anaesthetic Management ◽

Labour Analgesia ◽

Failed Intubation ◽

Obstetric Anaesthesia ◽

Obstetric Haemorrhage ◽

Elevated Liver Enzymes ◽

Maternal Sepsis ◽

Obstetric Surgery ◽

In Pregnancy

This chapter discusses the anaesthetic management of the pregnant patient, for labour analgesia as well as surgical intervention. It begins with a description of the physiological and pharmacological changes of pregnancy. It describes methods of labour analgesia, including remifentanil, and epidural analgesia and its complications, such as post dural puncture headache (PDPH). It describes anaesthesia for Caesarean section (both regional and general); failed intubation; antacid prophylaxis; postoperative analgesia; retained placenta; in utero fetal death; hypertensive disease of pregnancy (pre-eclampsia, eclampsia and the hypertension, elevated liver enzymes and low platelets (HELLP) syndrome); massive obstetric haemorrhage; placenta praevia and morbidly adherent placenta (placenta accreta, increta and percreta); amniotic fluid embolism (AFE); maternal sepsis, and maternal resuscitation. It discusses comorbidity in pregnancy such as obesity and cardiac disease, and the patient who requires non-obstetric surgery while pregnant. It provides information on safe prescribing in pregnancy and breast-feeding.

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