Abstract:

Acute pancreatitis in pregnancy is a rare and dangerous disease. It is associated with increased maternal and fetal mortality incidence. As a result of the interaction of pancreatic patofysiology with metabolic changes that occur during pregnancy, the diagnosis can easily be avoided. It is necessary to consider the distinctive diagnosis in pregnancies that apply with upper stomach pain, whether or not accompanied by nausea and vomiting. The main factors in etiology are: the yellow stones, hypertriglyceridemia HTG and alcohol. The prognosis is better than the non-scientific source AP. Identifiable laboratory findings are that the serum amylase level increases more than 3 times the upper limit of the normal. To support the diagnosis, ultrasound US should be done, the serum triglyceride TG and ionized calcium levels should be considered. In cases with TG height, the level of serum amylase may be normal, in this case it will be more useful in the diagnosis to look at serum lipase and urine amylase. In cases in which the US remains insufficient, magnetic resonance with gadolinium can be done with collangiopankreatography MRCP. Due to radiation exposure, computer tomography should not be used for IT and diagnostic endoscopic retrograde colanjio pancreotography. It is the basis of gastrointestinal decompression and hunger treatment. Because the ap caused by the yellow stone has a low rate of complications in the early period, laparoscopic cholesystectomy should be planned. The appropriate time for laporoscopic cholestectomy should be in the 2nd trimester where the uterus does not limit the surgical area and where the organogenesis of the fetus is completed. Therapeutic ERCP can be performed in selected cases. In AP with HTG, a low-fat diet, omega-3 fatty acids and plasma metabolism treatments can be applied.

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