Gallbladder sludge in a pregnant woman as a cause of severe complicated hemorrhagic-necrotizing pancreatitis with a spectacular manifestation
Journal Title: Progress in Health Sciences - Year 2017, Vol 7, Issue 2
Abstract
Pancreatitis is an obvious but a rare event in pregnancy. From mild disease to multiorgan failure and sepsis acute pancreatitis has numerous causes and an often unpredictable outcome. The authors present a case of 22-year-old pregnant woman with severe pancreatitis due to biliary sludge. An unusual clinical manifestation of pancreatitis in our patient is worth emphasizing: massive bleeding from upper alimentary tract and concomitant two pancreatic fistulas. The bleeding is a manifestation of the pancreatic juiceinduced injury to the splenic artery, whereas the fistulas are consequence of the disconnected duct syndrome and superficial necrosis of the pancreatic head. After two and a half years lasting treatment the patient was on regular oral diet with supplementation of pancreatic enzymes, and showed normal glycaemia level. She returned to fully physical activity.
Authors and Affiliations
Zbigniew Kamocki, M. Glińska, Joanna Laura Żurawska
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