title: [Acute renal insufficiency during pregnancy with acute pancreatitis].
abstract: According to current data the incidence of acute pancreatitis is from 1:1000 to 1:5000. Symptoms vary a lot, one of rare but most severe complications being acute renal failure. The case is a 24-year-old pregnant patients--30-th gestational week with symptoms of acute pancreatitis based most probably on hereditary hypertriglyceridemia and hypercholesterolemia. Parallel to acute inflammation of pancrease a hypercoagulation syndrome developed. It is possible that acute renal failure was caused by active thrombus formation. Because of danger for the life of mother and baby, an urgency preterm Cesarean Section was performed. Resussitation post-surgery care and drug therapy (lowmolecular anticoagulants, antibiotics, spasmolytics and analgetics, protease--inhibitors, inhibitors of protome pump, regulators and inhibitors of pancreas secretion normalize renal and pancreatic function if based on special dietary regimr. Coagulation status also normalizes.
authors.forename: A
authors.initials: A
authors.lastname: Nikolov
authors.forename: A
authors.initials: A
authors.lastname: Dimitrov
authors.forename: M
authors.initials: M
authors.lastname: Liubomirova
authors.forename: V
authors.initials: V
authors.lastname: Stoĭkova
authors.forename: R
authors.initials: R
authors.lastname: Dzherasi
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000150:complications* / Q000503:physiopathology; D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D002585:Cesarean Section; D005260:Female; D006801:Humans; D010195:Pancreatitis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D011182:Postoperative Care; D011247:Pregnancy; D011248:Pregnancy Complications; D011263:Pregnancy Trimester, Third; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D000925:Anticoagulants
vernacular_title: Ostra bŭbrechna nedostatŭchnost pri bremenna s ostŭr pankreatit.