Abstract
The Galle Medical Journal is published by the Galle Medical Association. The journal is published quarterly in March, June, September and December each year. The submissions are accepted throughout the year. The aims of the Journal are to foster co-operation among the medical fraternity and to be a forum to make literary contributions, share experiences encountered in medical practice, update their knowledge and have debates on topics related to all aspects of medicine.
Highlights
Acute pancreatitis leading to diabetic ketoacidosis in pregnancy is an extremely rare but serious event
She was on vitamin supplements only. She had not taken Ayurvedic treatment or misused alcohol. Her first pregnancy was terminated at 38 weeks of gestation with caesarian section due to major degree of placenta praevia and delivery was uneventful
Serum amylase level initially was 1640 U/L. Her lipid profile was within the normal limits. She was managed in the intensive care unit appropriately for 1 week, and due to foetal distress, emergency caesarian section was performed and a normal baby boy was delivered
Summary
Acute pancreatitis leading to diabetic ketoacidosis in pregnancy is an extremely rare but serious event. The most common causative factor is severe hypertriglyceridaemia. Detection of such life threatening situation is very important to minimize both maternal and foetal morbidity. We report such a case with normotriglyceridaemia
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