PANCREATITE AIGUE ET VOMISSEMENTS SEVERES AU COURS DE LA GROSSESSE : A PROPOS DE 24 CAS

Introduction: The acute pancreatitis (PA) during pregnancy is rare conditions, the clinical signs of which are not specific and may be related to the pregnancy itself and cause a delayed diagnosis. Material And Method: Our study is a 6-month comparative study of 24 patients, 18 with severe vomiting during pregnancy without pancreatitis (VS) and 6 with severe vomiting during pregnancy associated with (PA). The aim of our work was to determine the percentage of acute pancreatitis among patients with severe vomiting during pregnancy and to identify the signs pointing more towards this pathology. Results: Twenty five percent of patients with severe vomiting had PA. In the 66.67% PA group were nulliparous. Abdominal pain was present in 83% of PA cases and in 55.46% cases of VS. Metabolic alkalosis was present in 60% of cases in the PA group and 31% in the VS group. Ultrasonography showed biliary origin in 66.67% of PA and in 16.67 of VS cases. There were no deaths in the 2 groups. Conclusion: Given the high percentage of pancreatic origin in our study (25%), we should always mention PA in pregnant women with severe vomiting.