Maternal and fetal outcomes of recurrent pancreatitis in pregnancy after preconception Whipple procedure for carcinoid tumor

Abstract

Abstract

Incidence of pancreatitis in pregnancy is rare, ranging from 1:1000 to 1:10000.Very few case reports have presented pregnancy outcomes after pancreaticoduodenectomy (Whipple procedure) in pregnancy for carcinoid tumor of pancreas. We report a case of a woman who was a thirty two year old primigravida with history of a Whipple procedure for carcinoid pancreatic tumor seven years prior had two episodes of severe pancreatitis in pregnancy. She was managed conservatively with each episode. She delivered at twenty eight weeks due to non-reassuring cardiotocography and did not have a recurrence for the last eleventh months since her delivery. Recurrent pancreatitis in pregnancy after a preconception Whipple procedure can be managed conservatively without surgical intervention and preterm delivery is required only in case when maternal or fetal condition compromise.