Maternal and fetal death associated with acute pancreatitis during pregnancy:A case report  

作　　者：Jin Li Qing-Yan Zhang Mei-Hong Zhang Shan-Yun Jiang 

机构地区：[1]Department of Anesthesiology,Kaihua County People’s Hospital,Quzhou 324300,Zhejiang Province,China [2]Center for Clinical Inspection and Quarantine,Kaihua County Center for Clinical Inspection and Quarantine,Quzhou 324300,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2025年第10期53-58,共6页世界临床病例杂志（英文）

摘　　要：BACKGROUND Acute pancreatitis in pregnancy is a rare but serious condition that can lead to high maternal mortality and fetal loss.Instances of pregnancy complicated by severe acute pancreatitis,particularly with subsequent respiratory and cardiac arrest,are rarely reported.CASE SUMMARY We present the case of a 35-year-old woman,at 36+5 weeks of gestation,who presented with paroxysmal epigastric pain accompanied by low back pain,nausea,and vomiting.According to the clinical symptoms,B-ultrasound imaging and biochemical indicators,the patient was diagnosed with acute pancreatitis and initially managed conservatively.However,3 hours after admission,the patient experienced respiratory and cardiac arrest,and the fetus died.In this case,the adverse outcomes occurred due to the lack of aggressive fluid resuscitation and an active surgical intervention.CONCLUSION Implementing aggressive fluid resuscitation to sustain tissue perfusion,alongside the proactive evaluation of pharmacological agents that suppress gastric acid secretion and inhibit pancreatic enzyme activity,may be beneficial in mitigating the risk of a severely adverse prognosis.Effective management of acute pancreatitis during pregnancy requires careful timing of surgical intervention,a thorough evaluation of the risks and benefits regarding the continuation or termination of pregnancy,and a focus on safeguarding both maternal and fetal health.

关 键 词：Severe acute pancreatitis PREGNANCY Cardiac arrest Fetal death Case report 

分 类 号：R743.34[医药卫生—神经病学与精神病学]