ACUTE PANCREATITIS WITH POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRESS) IN PREGNANCY - SUCCESSFUL OUTCOME

Dr G Prameela; Dr Uma T; Dr Sk Roohi Begum; Dr K Gangadhara Rao; Dr K Prabha Devi

Volume : VII, Issue : XI, November - 2017

ACUTE PANCREATITIS WITH POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRESS) IN PREGNANCY - SUCCESSFUL OUTCOME

Dr G Prameela, Dr Uma T, Dr Sk Roohi Begum, Dr K Gangadhara Rao, Dr K Prabha Devi

Abstract :

Acute pancreatitis in pregnancy is rare, which can have high maternal mortality and fetal loss. The spectrum of acute pancreatitis in pregnancy ranges from mild to serious pancreatitis associated with necrosis, abscesses, pseudo cysts & multi –organ dysfunction syndromes. We report a case of acute pancreatitis in a 22 year old Gravida2 para0 abortion1, at 33 weeks of gestation. She presented with complaints of pain abdomen, radiating to back, associated with vomitings and eathlessness of 2 days. Investigations revealed increased levels of Amylase & Lipase levels. She was subjected lower segment caesarean section on the same day in view of severe pancreatitis. Patient shifted to ICU for monitoring. As she developed hypertension in the immediate post–operative period Tab.Labetalol 100mg was started twice a day. On10th Post–operative day, patient developed seizures, followed by posterior reversible encephalopathy syndrome. After obtaining haemodynamic stability, she is shifted to ward. Both mother and baby were discharged on 25 Post–operative day in good condition.