Affiliation:
1. George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures , Romania
2. Emergency Department , Emergency County Hospital , Targu Mures , Romania
Abstract
Abstract
Introduction: Acute pancreatitis is a condition that leads to multiple organ failure syndromes if not diagnosed and treated correctly. The most frequent causes of acute pancreatitis are gallstones, alcohol consumption, and elevated triglyceride serum level.
Case Presentation: A 21-year-old female presented to the emergency department with epigastric pain, nausea, vomiting, and diaphoresis. The patient had a non-complicated vaginal birth four months prior, had no personal history of illness, reported no alcohol consumption, and had a slender body constitution. Laboratory tests outlined a white blood cell count of 22.000/µL, elevated neutrophil count, lactate dehydrogenase 294 U/L, and lipemic serum sample reported for chemistry laboratory test. In addition, the contrast-enhanced computed tomography scan revealed severe pancreatitis, with an intraabdominal fluid collection.
Conclusions: This case report highlights the importance of correct early diagnosis in the postpartum and late postpartum period and raises awareness concerning the possibility of acute pancreatitis in a postpartum woman even if she does not have the two most common risk factors: gallstones or alcohol consumption.
Subject
General Pharmacology, Toxicology and Pharmaceutics,General Dentistry
Reference11 articles.
1. 1. Arnold J, Martínez W, Oksenberg S, Oksenberg D. Pancreatitis aguda por hipercalcemia en el embarazo. Caso clínico [Acute pancreatitis due to hypercalcemia during pregnancy. Report of one case]. Rev Med Chil. 2019 Aug;147(8):1078-1081. Spanish. doi: 10.4067/S0034-98872019000801078. PMID: 31859975.10.4067/S0034-9887201900080107831859975
2. 2. Yang TW, Peng CM, Tsai MC. An Unusual Cause of Acute Pancreatitis in a Young Woman. Gastroenterology. 2019 Sep;157(3):619-621. doi: 10.1053/j.gastro.2018.11.080. Epub 2019 Jan 4. PMID: 30615872.10.1053/j.gastro.2018.11.08030615872
3. 3. Boukatta B, Sbai H, Laalim SA, Toughrai I, Houari N, El Bouazzaoui A, Kanjaa N. Pancréatite aigüe du post-partum: à propos d’un cas [Acute pancreatitis in postpartum: report of a case]. Pan Afr Med J. 2013 May 2;15:2. French. doi: 10.11604/pamj.2013.15.2.2359. PMID: 23847699; PMCID: PMC3708328.10.11604/pamj.2013.15.2.2359370832823847699
4. 4. Jallouli A, Baba H, Zeroual A, Ramraoui ME, Elguazzar A, Lahkim M, Khader AE, Barni RE. Pancréatite aigüe idiopathique du post-partum: difficultés diagnostiques (à propos d’un cas) [Postpartum idiopathic acute pancreatitis: diagnostic difficulties (case report)]. Pan Afr Med J. 2022 Jan 18;41:48. French. doi: 10.11604/pamj.2022.41.48.31342. PMID: 35317479; PMCID: PMC8917461.10.11604/pamj.2022.41.48.31342891746135317479
5. 5. Woods GN, Saitman A, Gao H, Clarke NJ, Fitzgerald RL, Chi NW. A Young Woman With Recurrent Gestational Hypercalcemia and Acute Pancreatitis Caused by CYP24A1 Deficiency. J Bone Miner Res. 2016 Oct;31(10):1841-1844. doi: 10.1002/jbmr.2859. Epub 2016 May 6. PMID: 27105398; PMCID: PMC5071127.10.1002/jbmr.2859507112727105398