Abstract
A 21-year-old female with acute pancreatitis at 28 weeks of gestation was treated by means of total parenteral nutrition (TPN). Subjective symptoms such as nausea, vomiting, and abdominal pain were alleviated soon after the initiation of TPN, and no tenderness was complained on physical examination of the abdomen. Rash was observed in the face and trunk from about 19 days after the initiation of TPN. Measurements of blood vitamin and serum zinc, and analysis of serum fatty acid levels showed lower biotin and linoleic acid levels and serum zinc level at the lower border line. Trace mineral (2A/day) and 10% lipid emulsion (250 m/day) were administered, but the rash persisted for the rest of the pregnancy. During TPN, the body weight of the patient, height of uterine fundus, and the fetal bitemporal diameter revealed normal increase. Since the fetus showed pelvic presentation from 36 weeks of gestation, cesarean section was performed at 37 weeks and 5 days gestation with delivery of a healthy male infant.
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