A Case Report of a Pregnant Patient with Acute Necrotizing Pancreatitis in Imam Sajjad Hospital of Yasuj

Pancreatitis is an inflammation of the pancreas that occurs acutely or chronically. Symptoms of acute pancreatitis include: epigastric pain, nausea, vomiting and in severe cases shock and even death. Pancreatitis should as well be considered as a differential diagnosis in pregnant patients presenting with epigastric pain. Therefore, the aim of the present study was to determine and report a case of a pregnant patient with acute necrotizing pancreatitis in Imam Sajjad Hospital of Yasuj.

The patient was a 24-year-old woman, having her first pregnancy with a gestational age of 28-29 weeks. The patient had a history of 3 years of primary infertility following polycystic and hypothyroid ovaries and had been referred to the hospital with symptoms of abdominal pain, nausea and vomiting. The patient was asked for amylase and lipase tests as well as imaging to confirm necrotic inflammation of the pancreas. According to the surgical advice, the patient underwent hydration treatment, lack of oral nutrition, broad-spectrum antibiotics, and finally surgery to remove necrotic tissue. The patient was discharged in good general condition.

Acute pancreatitis during pregnancy can lead to many maternal and fetal complications, including maternal-fetal mortality and preterm delivery, which can be prevented with timely diagnosis and appropriate treatment.