title: Chronic pancreatitis: a sequela of acute fatty liver of pregnancy.
abstract: BACKGROUND
  Chronic pancreatitis following acute fatty liver of pregnancy is rarely reported.
  
  
  METHODS
  We treated a 34-year-old woman who developed acute fatty liver of pregnancy (AFLP) after delivery by caesarean section at 32 weeks of gestation. AFLP was complicated by acute pancreatitis and multiple organ failure. The management of the disease was primarily supportive. She recovered from acute fulminant liver failure and multi-organ failure, apart from the development of symptomatic chronic pancreatitis thereafter.
  
  
  RESULTS
  Investigations failed to identify any other causes of chronic pancreatitis. The patient responded very well to pancreatic enzyme supplement for the treatment of steatorrhoea.
  
  
  CONCLUSIONS
  To our knowledge, this is the first report of chronic pancreatitis as a consequence of multi-organ dysfunction caused by AFLP.
authors.affiliation: Division of Gastroenterology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
authors.forename: Wichian
authors.initials: W
authors.lastname: Apiratpracha
authors.forename: Eric M
authors.initials: EM
authors.lastname: Yoshida
authors.forename: Charles H
authors.initials: CH
authors.lastname: Scudamore
authors.forename: Scudamore H
authors.initials: SH
authors.lastname: Charles
authors.forename: Alan A
authors.initials: AA
authors.lastname: Weiss
authors.forename: Michael F
authors.initials: MF
authors.lastname: Byrne
mesh_terms: D000208:Acute Disease; D000328:Adult; D005234:Fatty Liver / Q000150:complications*; D005260:Female; D006801:Humans; D017114:Liver Failure, Acute / Q000150:complications*; D009102:Multiple Organ Failure / Q000150:complications*; D050500:Pancreatitis, Chronic / Q000000981:diagnostic imaging / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications; D014057:Tomography, X-Ray Computed