ABSTRACT
Reported causes of pancreatitis in pregnancy include: gallstone disease, hyperlipidemia,
alcohol ingestion, viral, and idiopathic. Few reports associate pancreatitis with
pregnancy-induced hypertension. A 35-year-old women with pregnancy-induced hypertension
and spontaneous rupture of membranes was admitted for induction of labor. Her postpartum
course was complicated by acute renal failure that responded well to treatment with
Lasix and Albumin. Subsequently, the patient developed acute pancreatitis and recovered
following conservative treatment. It is possible that the pancreatic ischemia due
to generalized vasoconstriction of preeclampsia and loop diuretics in the setting
of oliguria with renal failure, had a synergistic effect on the pancreas. Therefore,
we suggest that in postpartum women with pregnancy-induced hypertension and acute
renal failure, diuretics should be cautiously used because they may increase the risk
of pancreatitis.
KEYWORDS
PIH - postpartum acute renal failure - diuretics - pancreatitis
