Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 3 Issue 12

Acute Biliary Pancreatitis: A Preventable Cause of Maternal Death

Papa Dasari1*, Dhivya Balachandran2 and Priyadharshini R3

1Senior Professor, Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India

2Senior Resident, Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India

3Junior Resident, Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India

*Corresponding Author: Papa Dasari, Senior Professor, Department of Obstetrics and Gynaecology, JIPMER, Puducherry, India.

Received: October 19, 2021; Published: November 29, 2021

Abstract

A 29 year young multigravida at 35 weeks of pregnancy was provisional diagnosed as AFLP and underwent emergency LSCS for fetal distress and developed metabolic acidosis and required ventilator support and ICU care. USG revealed gall bladder sludge and she had large volume of biliary ascites. Her initial amylase and lipase were elevated on day postpartum day 2 and there was difference of opinion for undertaking ERCP. She was managed conservatively with higher broad spectrum antibiotics for sepsis and intraperitoneal drain for 21 days and by which time she improved but deteriorated after 2 days of removing the drain and consuming normal diet. Emergency Laparotomy on postnatal Day 30 revealed Pseudocyst of pancreas. Peritoneal fluid lipase and amylase were elevated 4-5 times and she subsequently developed MODS, gastroduodenal artery haemorrhage and shock. She was embolized successfully but succumbed.

Keywords: Pregnancy; Acute Biliary Pancreatitis; Gall Bladder Sludge; Pseudocyst; Gastroduodenal Artery Embolization; Maternal Mortality

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Citation

Citation: Papa Dasari., et al. “Acute Biliary Pancreatitis: A Preventable Cause of Maternal Death". Acta Scientific Women's Health 3.12 (2021): 25-32.

Copyright

Copyright: © 2021 Papa Dasari., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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