Table of Contents
ISRN Gastroenterology
Volume 2011, Article ID 481980, 2 pages
http://dx.doi.org/10.5402/2011/481980
Case Report

A Case of Biliary Pancreatitis Which Subsided after Endoscopic Sphincterotomy during Pregnancy

1Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Ufuk University Hospital, Mevlana Bulvarı no. 86–88, Balgat, 06520 Ankara, Turkey
2Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Gazi University Hospital, 06500 Ankara, Turkey

Received 2 March 2011; Accepted 17 March 2011

Academic Editors: A. Amedei, T. Joh, and C. Y. Yeung

Copyright © 2011 Gulbanu Erkan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 24-year-old pregnant patient was referred to us because of pain and tenderness in the right upper quadrant. Her liver enzymes and bilirubin levels were elevated; an abdominal ultrasound examination revealed gallstones within the gallbladder. Diagnosis of biliary pancreatitis was established based on elevated amylase levels. Oral intake was withheld; intravenous antibiotic therapy and total parenteral nutrition were administered. An endoscopic sphincterotomy without the use of fluoroscopy was performed. Abdominal pain and elevated serum amylase levels subsided after this procedure. In our case, biliary pancreatitis, which developed during pregnancy, responded well to the endoscopic sphincterotomy, and this procedure obviated the need for surgical intervention and prevented the recurrence of pancreatitis.