Acute pancreatitis during
pregnancy is uncommon and usually associated with
gallstones. However other etiologies must be considered. We
report a 24 years old
woman with a 32 weeks
pregnancy consulting for
abdominal pain,
nausea and
vomiting. She had elevated
lipase and
amylase levels, a corrected
serum calcium of 13.1 mg/dl and a
serum phosphate of 1.6 mg/dl. A
magnetic resonance colangiopancreatography showed an enlarged
pancreas with inflammatory changes and a normal
Wirsung duct. A parathyroid nodule was found on cervical
ultrasonography. The
patient was treated initially with
cinacalcet with partial response. A
parathyroidectomy was performed at 39 weeks of
pregnancy with a good maternal and fetal evolution.