Ascites in the puerperium: a missed diagnosis of acute postpartum pancreatitis
Ascites in the puerperium: a missed diagnosis of acute postpartum pancreatitis
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DOI：
10.1007/s00404-004-0717-8
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发表时间：
2005-09-01
影响因子：
2.6
通讯作者：
Whitlow, Barry
中科院分区：
文献类型：
--
作者：
Gyang, Anthony;Kalu, Emmanuel;Whitlow, Barry
前言：妊娠期急性胰腺炎常伴有严重的并发症。它通常是一个产前问题发生在怀孕后期。它很少发生在产后期间，当它发生时，诊断可能很困难。病例报告：我们报告一例不明原因的腹水后，Ventouse交付，诊断为急性胰腺炎6周后。结论：虽然这是罕见的，急性胰腺炎必须考虑到评估病人出现腹痛和/或腹水在产后期间。血清淀粉酶可能并不总是升高，早期求助于CT扫描将有助于诊断，并允许适当的管理。
Introduction: Acute pancreatitis in pregnancy is often associated with severe morbidity. It is usually an antepartum problem occurring in late pregnancy. It rarely occurs in the postpartum period and when it does diagnosis can be difficult. Case report: We report a case of 'unexplained' ascites following ventouse delivery, diagnosed 6 weeks later as acute pancreatitis. Conclusion: Although it is rare, acute pancreatitis must be considered when evaluating patients presenting with abdominal pain and/or ascites in the postpartum period. Serum amylase may not always be elevated and early recourse to CT scan will facilitate diagnosis and allow for appropriate management.