Pregnancy-induced hypertension complicated by postpartum renal failure and pancreatitis: a case report.
Reported causes of pancreatitis in pregnancy include: gallstone disease, hyperlipidemia, alcohol ingestion, viral, and idiopathic. Few reports associate pancreatitis with pregnancy-induced hypertension. A 35-year-old women with pregnancy-induced hypertension and spontaneous rupture of membranes was admitted for induction of labor. Her postpartum course was complicated by acute renal failure that responded well to treatment with Lasix and Albumin. Subsequently, the patient developed acute pancreatitis and recovered following conservative treatment. It is possible that the pancreatic ischemia due to generalized vasoconstriction of preeclampsia and loop diuretics in the setting of oliguria with renal failure, had a synergistic effect on the pancreas. Therefore, we suggest that in postpartum women with pregnancy-induced hypertension and acute renal failure, diuretics should be cautiously used because they may increase the risk of pancreatitis.
Marcovici
Iacob
I
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor, Michigan, USA.
Marzano
David
D
D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D009846:Oliguria / Q000209:etiology; D010195:Pancreatitis / Q000209:etiology*; D011225:Pre-Eclampsia / Q000150:complications*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology*