Tuesday, November 6, 2007

Pregnancy clinical manifestations of acute pancreatitis

Based on history, clinical manifestations, laboratory and imaging studies, a typical pregnancy diagnosis of acute pancreatitis is not difficult. The question is often overlooked clinicians presence of acute pancreatitis during pregnancy, and some diseases such as acute pneumonia, penetrating ulcer, splenic rupture, the surrounding renal abscess, acute appendicitis, ruptured ectopic pregnancy, pregnancy Gravidarum, such as preeclampsia, gestational similar clinical manifestations sometimes in acute pancreatitis symptoms, diagnosis All this has brought difficulties. In the left upper quadrant abdominal or back pain radiation to patients with acute pancreatitis during pregnancy is the most important symptoms, 90% of the patients complained of this, and accompanied by nausea, vomiting, intestinal obstruction and low heat, and so on. Any upper abdominal pain during pregnancy should consider the possibility of acute pancreatitis, but the pain of acute pancreatitis during pregnancy can be minor or even not typical, and nausea and vomiting are more serious and frequent, often difficult to explain. Some patients in the event of nausea, vomiting, abdominal pain symptoms a few hours before the three have a history of eating into greasy. In late pregnancy, especially the labor stage, tearing acute pancreatitis often of upper abdominal pain or contractions pain mask pain and contractions confusion. In the abdomen, the pancreas living in retroperitoneal passage in the gastrointestinal pregnancy and easily covered by the omentum, therefore, peritonitis, abdominal mass and the signs may typical.

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