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Acute pancreatitis during pregnancy is generally rare, with an incidence of about 1.47 per 10,000 and 75% of cases occurring in the third trimester. The main clinical symptom is persistent, severe abdominal pain that may be exacerbated by eating, with nausea and vomiting, abdominal distension, and fever. Although its incidence is relatively low, once the disease occurs, it is ferocious, and the disease progresses rapidly, which can cause miscarriage and premature birth, resulting in severe hypoxia or stillbirth of the fetus, endangering the life safety of mothers and babies, so it has attracted much attention.
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Ms. Xiao Li, pre-pregnancy body mass index (BMI) as high as 28.5 (> 28 is obese), now 29 weeks pregnant, 1 day ago after eating the large intestine, chicken feet and other greasy food after nausea, vomiting with epigastric pain, emergency admission to our hospital, color ultrasound showed that the volume of the pancreatic tail increased, echo enhancement, combined with the patient's symptoms and signs and auxiliary examinations, considering pregnancy with acute pancreatitis, immediately given fasting, rehydration, antispasmodic analgesia and anti-inflammatory treatment, while closely monitoring vital signs and biochemical indicators, after active treatment, the symptoms improved significantlyAfter 3 days, the patient's symptoms disappeared, and he was discharged from the hospital, and the outpatient clinic had regular prenatal checkups. Carelessness in eating and drinking during pregnancy can almost cause irreversible consequences.
Xiao Li's experience is a wake-up call for expectant mothers!
Wary!
There are two main causes of acute pancreatitis:
Have hyperlipidemia
In order to make the fetus live in the mother's womb with peace of mind, the estrogen and progesterone levels in the expectant mother's body will increase significantly, and the blood lipids will also increase. Hyperlipidemia causes impaired pancreatic microcirculation.
Have biliary tract disease
Expectant mothers are affected by a variety of hormones, bile is concentrated, easy to form gallstones, once the stones are embedded in the bile ducts, it is easy to cause biliary pancreatitis.
The most common symptom
Pregnant women have abdominal pain and vomiting symptoms after a full meal or eating greasy food, the abdominal pain is located in the left upper abdomen or the whole abdomen, dull or sharp pain, persistent, can radiate to the lower back, often worsen after eating again, and the symptoms are not relieved after vomiting. At the same time, pregnant women may be accompanied by symptoms such as nausea, abdominal distention, jaundice, and fever.
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Note!
Although acute pancreatitis has the common symptoms of acute abdomen, when the uterus enlarges in the third trimester of pregnancy, the anatomical position of the organs in the abdominal cavity changes, coupled with the inflammatory stimulus induced uterine contractions, prelabor contractions and other factors, the location, nature and signs of peritonitis in pregnant women are often atypical, easy to cause misdiagnosis, and in severe cases, it may cause miscarriage, premature birth, fetal distress, fetal growth restriction or stillbirth, etc., resulting in maternal multi-organ failure, systemic inflammatory reaction, shock, and even life-threatening.
How can acute pancreatitis be prevented?
Acute pancreatitis is an obstetric emergency, with acute onset, rapid progression, and dangerous course, and pregnant mothers should pay attention to it in their daily life. On the one hand, it is necessary to control weight and reduce the occurrence of hyperlipidemia. Adjusting the diet is a direct and effective solution. On the other hand, for women with biliary tract diseases before pregnancy, it is best to ask a professional doctor to intervene in advance to eliminate the risk factors of pancreatitis and ensure the safety of pregnancy. Once the early symptoms of acute pancreatitis appear, it is necessary to seek medical attention in time, early diagnosis and early treatment, and reduce the occurrence of severe disease.
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Article source: Wu Congcong
(Disclaimer: This article is only for health science popularization and is not used for any commercial advertising purposes, and does not provide diagnosis and treatment advice, nor can it represent the examination and treatment of the hospital.) If you have any related diseases, please seek medical treatment in a regular hospital in time and follow the doctor's instructions. Some of the pictures come from the Internet, the copyright belongs to the original author, if your rights and interests are violated, please inform us in time, we will delete as soon as possible. ）
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