Acute biliary pancreatitis related with pregnancy: a 5-year single center experience.
BACKGROUND
Pregnancy-associated acute biliary pancreatitis is a rare but challenging clinical entity in terms of diagnosis and management. We report our institutional medical data of pregnancy-associated acute biliary pancreatitis.


METHODS
Medical records of 27 patients admitted to our clinics for pregnancy-associated acute biliary pancreatitis between January 2005 and January 2010 were reviewed.


RESULTS
Of the 27 patients, 25 (93%) were in the post-partum period, and 2 (7%) were pregnant. Seventeen patients (63%) were managed with conservative treatment, and were scheduled for interval cholecystectomy, while 10 patients (37%) had early cholecystectomy prior to discharge. The mortality rate was 3% (n=1).


CONCLUSIONS
Pregnancy-associated acute biliary pancreatitis usually has a mild-to-moderate clinical course with a favorable outcome, and can be managed successfully with conservative treatment. Early cholecystectomy done prior to discharge in the initial admission should be considered in mild-to-moderate pregnancy-associated acute biliary pancreatitis, except in patients within the first trimester.
Turhan
Ahmet Nuray
AN
Department of General Surgery, Bakirköy Training And Research Hospital, Istanbul, Turkey. ahmetnturhan@gmail.com
Gönenç
Murat
M
Kapan
Selin
S
Islim
Filiz
F
Oner
Osman Zekai
OZ
Tulubaş
Erkam
E
Aygün
Erşan
E
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy / Q000379:methods; D005260:Female; D006801:Humans; D009336:Necrosis; D010195:Pancreatitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011644:Puerperal Disorders / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000900:Anti-Bacterial Agents