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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

ARNOLD, Jorge; MARTINEZ, Waldo; OKSENBERG, Sebastian  and  OKSENBERG, Danny. Acute pancreatitis due to hypercalcemia during pregnancy. Report of one case. Rev. méd. Chile [online]. 2019, vol.147, n.8, pp.1078-1081. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872019000801078.

Acute pancreatitis during pregnancy is uncommon and usually associated with gallstones. However other etiologies must be considered. We report a 24 years old woman with a 32 weeks pregnancy consulting for abdominal pain, nausea and vomiting. She had elevated lipase and amylase levels, a corrected serum calcium of 13.1 mg/dl and a serum phosphate of 1.6 mg/dl. A magnetic resonance colangiopancreatography showed an enlarged pancreas with inflammatory changes and a normal Wirsung duct. A parathyroid nodule was found on cervical ultrasonography. The patient was treated initially with cinacalcet with partial response. A parathyroidectomy was performed at 39 weeks of pregnancy with a good maternal and fetal evolution.

Keywords : Hypercalcemia; Pancreatitis; Pregnancy.

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