Acute pancreatitis and cholecystitis associated with postpartum HELLP syndrome: a case and review.
Hypertens Pregnancy
; 26(1): 23-9, 2007.
Article
em En
| MEDLINE
| ID: mdl-17454215
ABSTRACT
We report a case of preeclampsia associated with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome and concomitant nonbiliary acute pancreatitis and cholecystitis in the first postpartum day. A thorough investigation ruled out known etiologies of both pancreatitis and cholecystitis. Following conservative treatment, the patient's HELLP syndrome, pancreatitis, and cholecystitis resolved on the third postpartum day. Preeclampsia is associated with microvascular abnormalities that may involve the splanchnic circulation. These abnormalities may cause not only HELLP syndrome but also pancreatitis and cholecystitis. Recognizing that ischemia can damage not only the liver but also the pancreas and gallbladder, could result in improvements in the diagnosis and management of pancreatitis in patients with preeclampsia.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Pancreatite
/
Pré-Eclâmpsia
/
Síndrome HELLP
/
Colecistite Aguda
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article