Abstract
This is a case of a pregnant lady at 8 weeks of gestation, who presented with acute abdomen. She was initially diagnosed with ruptured ectopic pregnancy and ruptured corpus luteal cyst as the differential diagnosis. However she then, was finally diagnosed as acute hemorrhagic pancreatitis with spontaneous complete miscarriage. This is followed by review of literature on this topic. Acute pancreatitis in pregnancy is not uncommon. The emphasis on high index of suspicion of acute pancreatitis in women who presented with acute abdomen in pregnancy is highlighted. Early diagnosis and good supportive care by multidisciplinary team are crucial to ensure good maternal and fetal outcomes.
Highlights
Acute pancreatitis in pregnancy is not an uncommon problem
We are reporting a case of acute pancreatitis in the first trimester of pregnancy which we initially diagnosed as ruptured ectopic pregnancy with a differential diagnosis of ruptured corpus luteal cyst
Acute pancreatitis (AP) in pregnancy is most often associated with gallstone disease or hypertriglyceridemia [1, 4, 5]
Summary
Acute pancreatitis in pregnancy is not an uncommon problem. The annual incidence of acute pancreatitis in general population is 5 to 80 per 100,000. In pregnancy, it varies and is approximately 1 in 1000 to 1 in 10,000 [1,2,3]. More than 50% of cases in pregnancy are diagnosed in third trimester demonstrating that acute pancreatitis is more common with advancing gestational age, paralleling the frequency of gallstones in pregnancy [1]. We are reporting a case of acute pancreatitis in the first trimester of pregnancy which we initially diagnosed as ruptured ectopic pregnancy with a differential diagnosis of ruptured corpus luteal cyst. The final diagnosis was acute hemorrhagic pancreatitis with missed miscarriage
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