Acute pancreatitis in a pregnant patient

Case contributed by Dr Ammar Haouimi

Presentation

Acute onset of severe epigastric pain in a pregnant patient at 25 weeks. Known case of systemic lupus erythematosus (SLE). Amylasaemia (1012 UI/L), lipasaemia (789 UI/L).

Patient Data

Age: 35 years
Gender: Female

The pancreas is diffusely enlarged mainly in its corporeocaudal region with indistinct margins. It shows a homogeneous increase signal on T2WI with no areas of parenchymal necrosis.

Peripancreatic and left anterior pararenal fluid collections are noted (the largest measures 33 x 14 mm). 

The gallbladder is anechoic with normal size and wall thickness. The Intra-and extrahepatic biliary ducts are not dilated. No CBD stone was seen.

Case Discussion

Case showing acute pancreatitis with peripancreatic fluid collections, without pancreatic necrosis in a pregnant patient at 25 weeks gestation with a history of systemic lupus erythematosus (SLE).

Acute pancreatitis is considered as one of the gastrointestinal manifestations of the systemic lupus erythematosus as in this case.

 

Additional contributor: R. Bouguelaa, MD

 

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