<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412021000600503</article-id>
<article-id pub-id-type="doi">10.24245/gom.v89i6.3628</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pancreatitis aguda recurrente durante el embarazo: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Recurrent acute pancreatitis in the pregnancy: A case report.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano-Berrones]]></surname>
<given-names><![CDATA[Miguel Angel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Briones]]></surname>
<given-names><![CDATA[Hugo Edwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano-Beltrán]]></surname>
<given-names><![CDATA[Indra Angélica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Ginecología y Obstetricia 4 Dr. Luis Castelazo Ayala  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Ginecología y Obstetricia 4 Dr. Luis Castelazo Ayala  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de Ginecología y Obstetricia 4 Dr. Luis Castelazo Ayala  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<numero>6</numero>
<fpage>503</fpage>
<lpage>508</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412021000600503&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412021000600503&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412021000600503&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES: La pancreatitis es una complicación poco frecuente durante el embarazo; sin embargo, su incidencia se ha incrementado en las últimas décadas en todo el mundo. Este caso resulta de interés porque el cuadro apareció con una diferencia de 23 semanas.  CASO CLÍNICO: Paciente de 33 años; a las 13 semanas acudió al servicio de Urgencias debido a un dolor abdominal en el epigastrio acompañado de náuseas, vómito y malestar generalizado. Se detectaron: incremento de amilasa y alteración de las pruebas de funcionamiento hepático. Se otorgaron medidas generales y se indicó tratamiento dietético. A las 36 semanas acudió a urgencias con exacerbación del cuadro clínico, lo que ameritó hospitalización e interrupción del embarazo.  CONCLUSION: El diagnóstico de pancreatitis aguda recurrente en el embarazo se asocia con una serie de factores sociales, demográficos y médicos. En la búsqueda de ofrecer mayor seguridad a la madre y a su hijo cada día son más las indicaciones de la cesárea, circunstancia que se refleja en el decremento importante de la mortalidad materna e infantil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  BACKGROUND: Pancreatitis is a rare complication during pregnancy, its incidence has increased in recent decades worldwide. This case is of interest since the condition presented with a difference of 23 weeks.  CLINICAL CASE: 33-year-old patient who attended the emergency service at 13 weeks due to abdominal pain in the epigastrium, accompanied by nausea, vomiting and general discomfort. Through laboratory assistants, an increase in amylase and altered liver function tests were detected. Ultrasound showed image enhancement. General measures were granted and dietary management was indicated. At 36 weeks, she presented to the emergency room with exacerbation of the clinical picture, which warranted hospitalization and interruption of pregnancy.  CONCLUSION: The diagnosis of recurrent acute pancreatitis in pregnancy is associated with a series of social, demographic and medical factors that are involved. In the search to provide greater security to the pairing, an increasing number of indications for caesarean section have emerged and as a reflection of this, a significant decrease in maternal and child mortality has been observed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pancreatitis]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[pruebas de función hepática]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido]]></kwd>
<kwd lng="es"><![CDATA[pancreatitis aguda recurrente]]></kwd>
<kwd lng="es"><![CDATA[cesárea]]></kwd>
<kwd lng="en"><![CDATA[Pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[Liver function tests]]></kwd>
<kwd lng="en"><![CDATA[Ultrasound]]></kwd>
<kwd lng="en"><![CDATA[Recurrent acute pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[Cesarean section]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Papadakis]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
<name>
<surname><![CDATA[Sarigianni]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Mikhailidis]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute pancreatitis in pregnancy: an overview]]></article-title>
<source><![CDATA[Eur J Obstet Gynecol Reprod Biol]]></source>
<year>2011</year>
<volume>159</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>261-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Igbinosa]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Poddar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Pitchumoni]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pregnancy associated pancreatitis revisited]]></article-title>
<source><![CDATA[Clin Res Hepatol Gastroenterol]]></source>
<year>2013</year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>177-81</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hacker]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Whalen]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal and fetal outcomes of pancreatitis in pregnancy]]></article-title>
<source><![CDATA[Am J Obstet Gynecol]]></source>
<year>2015</year>
<volume>213</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>568.e1-5</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Russi]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Severe dyslipidemia in pregnancy: The role of therapeutic apheresis]]></article-title>
<source><![CDATA[Transfus Apher Sci]]></source>
<year>2015</year>
<volume>53</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>283-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jeon]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hypertriglyceridemia induced acute pancreatitis in pregnancy causing maternal death]]></article-title>
<source><![CDATA[Obstet Gynecol Sci]]></source>
<year>2016</year>
<volume>59</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>148-51</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[Z.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A 23-year, single-center, retrospective analysis of 36 cases of acute pancreatitis in pregnancy]]></article-title>
<source><![CDATA[Int J Gynaecol Obstet]]></source>
<year>2015</year>
<volume>130</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>123-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Swisher]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Hunt]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
<name>
<surname><![CDATA[Schmit]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of pancreatitis complicating pregnancy]]></article-title>
<source><![CDATA[Am Surg]]></source>
<year>1994</year>
<volume>60</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>759-62</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilallonga]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Calero-Lillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute pancreatitis during pregnancy, 7-year experience of a tertiary referral center]]></article-title>
<source><![CDATA[Cir Esp]]></source>
<year>2014</year>
<volume>92</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>468-71</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Edward]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Bradley III]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 Through 13, 1992]]></article-title>
<source><![CDATA[Arch Surg]]></source>
<year>1993</year>
<volume>128</volume>
<page-range>586-90</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balthazar]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ranson]]></surname>
<given-names><![CDATA[JHC]]></given-names>
</name>
<name>
<surname><![CDATA[Naidich]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute pancreatitis: prognostic value of CT]]></article-title>
<source><![CDATA[Radiology]]></source>
<year>1985</year>
<volume>156</volume>
<page-range>767-72</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hot]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[E&#287;in]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gökçek]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute biliary pancreatitis during pregnancy and in the post-delivery period]]></article-title>
<source><![CDATA[Ulus Trauma Acil Cerrahi Derg]]></source>
<year>2019</year>
<volume>25</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>253-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-Martínez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Mancebo-Mata]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pancreatitis aguda inducida por hipertrigliceridemia: una causa inusual de dolor abdominal durante el embarazo]]></article-title>
<source><![CDATA[Rev Gastroenterol Mex]]></source>
<year>2019</year>
<volume>15</volume>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kilinc]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Senates]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Are There Differences in the Management of Acute Pancreatitis Cases Due to Severe Hypertriglyceridemia in Pregnant Women?]]></article-title>
<source><![CDATA[Med Sci Monit]]></source>
<year>2018</year>
<volume>13</volume>
<numero>24</numero>
<issue>24</issue>
<page-range>5619-23</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tang]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Mei]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[What may cause fetus loss from acute pancreatitis in pregnancy: Analysis of 54 cases]]></article-title>
<source><![CDATA[Medicine (Baltimore)]]></source>
<year>2018</year>
<volume>97</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Zen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical characteristics of acute pancreatitis in pregnancy: experience based on 121 cases]]></article-title>
<source><![CDATA[Arch Gynecol Obstet]]></source>
<year>2018</year>
<volume>297</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>333-9</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chappell]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ursodeoxycholic acid versus placebo in women with intrahepatic cholestasis of pregnancy (PITCHES): a randomised controlled trial]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2019</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
