Acute pancreatitis in pregnancy: are gallstones and Gilbert ’s syndrome cofactors?

A 35-year-old Italian woman was referred to our emergency room at 31 weeks of gestation complaining of abdominal pain and bleeding from the genital tract. She was diagnosed with placenta previa major following an ultrasound scan on admission. After 2 days, the bleeding stopped but the abdominal pain and emesis-like symptoms got worse in the absence of uterine contractions. Serum chemistry showed an increase in serum pancreatic specific amylase (1263 IU/l); haematocrit, 32%; BUN, 2.47  mg/dl; creatinine, 0.44 mg/dl; alkaline phosphatase, 192 U/l; ALT, 108 U/l; AST, 58 U/l; total bilirubin, 4.41 mg/dl; and direct bilirubin, 0.6 mg/dl.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Source Type: research