Acute pancreas to a cute pancreas

Abstract

Acute pancreatitis in pregnancy is rare, with the incidence being 3 in 10,000 pregnancies. Its occurrence is of great concern to clinicians as they are dealing with two lives and increased incidence of morbidity. Here, we report two unique cases of acute pancreatitis in the 3rd trimester. Both presented with symptoms of vomiting and pain abdomen. One patient was a primi at 35 weeks with gestational hypertension on tablet labetalol 50 mg tds, tablet metformin for polycystic ovarian syndrome (PCOS) and thyroxine replacement for hypothyroidism. Her baseline amylase and lipase values were 157 and 475 respectively. She had emergency lower segment cesarean section (LSCS) for severe oligohydramnios. Intraoperative period was uneventful. The second patient was a primi at 34 weeks and 4 days and preterm premature rupture of membranes (PPROM). Her baseline amylase and lipase values were 1449 and 550. Patient was induced with prostaglandin E2 (PGE2) gel and delivered normally. Both patients were managed conservatively with a multidisciplinary team approach.