Acute pancreatitis in pregnancy, complicated by rupture of aneurysm of artery lienalis

Czech version

Authors: E. Hostinská; K. Huml; R. Pilka
Authors‘ workplace: Porodnicko-gynekologická klinika FN a LF UP, Olomouc přednosta prof. MUDr. R. Pilka, Ph. D.
Published in: Ceska Gynekol 2016; 81(3): 208-211

Overview

Objective:
We present a case of pregnant woman with acute pacreatitis in 38th week comlicated by acute rupture of aneurysm of artery lienalis.

Design:
Case report.

Setting:
Department of Gynaecology and Obstetrics, Faculty Hospital and Palacky University, Olomouc.

Case report:
28-years-old primipara in 38th week of gestation was admitted to our department for acute pancreatitis caused by gallstones. Subsequent conservative treatment was complicated by rupture of aneurysm of lienal artery and haemorrhagic shock. Urgent caesarean section was performed with two subsequent revisions and peroperative 5l of blood loss. Operation was followed by intensive anesthesiology-resuscitate care of ARDS, gradual realimentation and conservative care of acute pancreatitis. Patient was discharged in good condition 20th day.

Conclusion:
Acute pancreatitis is rare in pregnancy. In severe and complicated cases maternal and perinatal morbidity and mortality may be elevated, despite early diagnosis and intensive treatment.

Keywords:
acute pancreatitis, rupture splenic artery, pregnancy

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