Akutní pankreatitida v graviditě komplikovaná rupturou aneuryzmatu arteria lienalis
[Acute pancreatitis in pregnancy, complicated by rupture of aneurysm of artery lienalis]
Jazyk čeština Země Česko Médium print
Typ dokumentu kazuistiky, časopisecké články
PubMed
27882764
PII: 59631
- Klíčová slova
- acute pancreatitis, rupture splenic artery pregnancy.,
- MeSH
- akutní nemoc MeSH
- arteria lienalis * MeSH
- císařský řez MeSH
- dospělí MeSH
- hemoragický šok diagnóza terapie MeSH
- komplikace těhotenství diagnóza terapie MeSH
- lidé MeSH
- náhlé příhody MeSH
- pankreatitida komplikace diagnóza terapie MeSH
- prasklé aneurysma komplikace diagnóza terapie MeSH
- reoperace MeSH
- těhotenství MeSH
- třetí trimestr těhotenství * MeSH
- žlučové kameny komplikace diagnóza MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
OBJECTIVE: We present a case of pregnant woman with acute pacreatitis in 38th week comlicated by acute rupture of aneurysm of artery lienalis. DESIGN: Case report. SETTING: Department of Gynaecology and Obstetrics, Faculty Hospital and Palacky University, Olomouc. CASE REPORT: 28-years-old primipara in 38th week of gestation was admitted to our department for acute pancreatitis caused by gallstones. Subsequent conservative treatment was complicated by rupture of aneurysm of lienal artery and haemorrhagic shock. Urgent caesarean section was performed with two subsequent revisions and peroperative 5l of blood loss. Operation was followed by intensive anesthesiology-resuscitate care of ARDS, gradual realimentation and conservative care of acute pancreatitis. Patient was discharged in good condition 20th day. CONCLUSION: Acute pancreatitis is rare in pregnancy. In severe and complicated cases maternal and perinatal morbidity and mortality may be elevated, despite early diagnosis and intensive treatment.
