妊娠に伴う高脂血症が誘因となった急性膵炎の1例 A CASE OF ACCUTE PANCREATITIS CAUSED BY HYPERLIPIDEMIA WITH PREGNANCY
A case of acute pancreatitis caused by hyperlipidemia during pregnancy is reported.<br> A 27-year-old pregnant woman of the 32nd week gestation was seen at the hospital because of vomiting and upper abdominal pain. The abdomen was entirely distended, and the upper margin of the gastated uterus was palpated three fingers above the navel. There was tenderness centering the region of the epigastric fossa, but no rebound tenderness nor muscle guarding was presented. Laboratory data on admission revealed increased white blood cell count of 18, 410/mm<sup>3</sup>. Biochemically, total cholesterol, neutoral fat, serum amylase, and urinary amylase levels were as abnormally high as 749mg/dl, 5, 632mg/dl, 9, 411U/L, and 4, 724U/L, respectively. Abdominal ultrasonography visualized the pancreas which swelled generally and had an obscure margin. Conservative therapy was started under a diagnosis of acute pancreatitis of mild degree. On the next day, some alterations were seen in the fetus and the fetus was delivered by a cesarean section. Simultaneously, intraperitoneal and pancreas bed drainage were performed. Postoperative course was uneventful. Blood biochemical data were normalized and the general condition improved as well. The patient was discharged from the hospital on 45th hospital day. Both the patient and her baby have been in good health, as of 3 years and 4 months.
- 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association
日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 61(2), 486-490, 2000-02-25