2006, Number 5
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Med Int Mex 2006; 22 (5)
HELLP syndrome related to acute pancreatitis
Trejo LJA, Contreras GN, Barrera RJM, Ayala GF, Sánchez PLA
Language: Spanish
References: 18
Page: 465-468
PDF size: 146.99 Kb.
ABSTRACT
A case of female patient, who is 42 years of age, is presented with the diagnosis of systemic hypertension induced by pregnancy, complicated with a HELLP syndrome (hemolysis, liver enzyme elevation, and a decrease in the platelet count), and in a concomitant form, an acute pancreatitis state. The association of a hypertensive disease induced by pregnancy and an acute pancreatitis is rare and it has an elevated fetal-maternal death risk. It is even rare the presence of a HELLP syndrome, associated with an acute edematose pancreatitis, which in itself carries a greater death risk; the diagnosis is backed up with the clinical picture, laboratory exams, ultrasound and abdominal tomography. We had a satisfactory response, with the medical treatment; it is an illustrative case, which is useful as experience, so we can have it in mind in other similar situations.
REFERENCES
Badja, Troche, Naima, Pilles, et al. Acute pancreatitis and preeclampsia eclampsia: A case reported. Am J Obstet Gynecol 1997;176:707-9.
Sharp HT. The Acute Abdomen During Pregnancy. Clin Obstet Gynecol 2002;45:405-13.
Huber W, Schweigart U, Classen M. Epoprostenol and Plasmapheresis in complicated HELLP syndrome with pancreatitis. Lancet 1994;343:848.
Vázquez J, Fuentes J, Orozco R, Sánchez E, et al. Pancreatitis aguda asociada con preeclamsia severa: reporte de un caso y aspectos clínicos. Rev Asoc Mex Med Crit Ter Int 1997;11:162-5.
Castillo L, Delgado G. Síndrome de HELLP. Rev Hosp Jua Mex 2000;7:171-7.
Fuente D, González R. Síndrome de HELLP. Med Uni 2003;5:101-8.
Malagoni MA. Gastrointestinal surgery and pregnancy. Gastroenterol Clin North Am 2003;32:181-200.
Otero Y, Figueira A. Pancreatitis hipertrigliceridémica y embarazo. Rev Esp Anestesiol Reanim 2003;50:477-80.
Díaz-Pizarro J, Mijares-García J. Prevalencia de la pancreatitis aguda en el embarazo y puerperio. Cir Gen 2003;25:152-7.
Ramin KD, Ramin SM, Richey SD, Cunningham FG, et al. Acute pancreatitis in pregnancy. Am J Obst Gynecol 1995;173(1):187-91.
Segura M, Tamayo F, García-Gil JM, Aneiros J, et al. Pancreas: Acute pancreatitis in pregnancy may alter the fetal surfactant: an experimental study. The British Journal of Surgery 1995;82(11):125-6.
Paternoster DM, Rodi J, Santarossa C, Vanin M, et al. Acute pancreatitis and deep vein thrombosis associated with HELLP syndrome. Minerva Gynecol 1999;51:31-3.
Yamada K, Hamatani K, Nishimoto H. HELLP (hemolysis, elevated liver enzymes and low platelets). Syndrome and acute pancreatitis complicated with severe preeclampsia. Br J Surg 1995;82:125.
Devore GR, Braken M, Berkowitz RL. The amylase/creatinine clearance ratio in normal pregnancy and pregnancyes complicated by pancreatitis, hyperemesis and toxemia. Am J Obstet Gynecol 1980;136:747-54.
Nesbit TH, Kay HH, McCoy MC, Herbert WN. Endoscopic management of biliary disease during pregnancy. Obstet Gynecol 1996;87:806-9.
Diaz P, Mijares G, Cárdenas L. Prevalencia de la pancreatitis aguda durante el embarazo y puerperio. Cir Gen 2003;25:152-7.
Martinez F, Aguirre A, Coronado M. Síndrome de HELLP- eclampsia. Rev Asoc Mex Med Crit y Ter Int 2001;15:121-5.
Navarro V. Síndrome de HELLP y coagulopatía. Rev Vene Anest 2002;7:148-51.