RESUMEN
Case reports of two patients with acute pancreatitis in late pregnancy are presented with a discussion of their management. These cases are reported because this condition often presents a diagnostic challenge, and any delay in diagnosis is associated with increased maternal and fetal morbidity and mortality. The first one was treated in the Obstetrics and Gynecology department. The second, was treated jointly with the surgical department
Asunto(s)
Humanos , Femenino , Enfermedad Aguda , Embarazo , Periodo Posparto , Complicaciones del Embarazo , Manejo de la Enfermedad , Literatura de Revisión como AsuntoRESUMEN
This report describes a case of interstitial pregnancy which was diagnosed at six weeks of gestation and treated surgically by excision. Initially, the signs and symptom were rather confusing, but the diagnosis was eventually made using ultrasound scanning. The patient was treated by excising the site of the interstitial pregnancy. The patient made a good recovery and was discharged home. Because of the question of future reproduction in such cases we have discussed alternative, minimal invasive techniques such as laparoscopic removal with or without arterial embolization, medical treatment with methotrexate or local injection with potassium hydroxide. This case was reported because it is rare, difficult to diagnose, and because modern treatment has less adverse effects on future fertility