Introduction:- The association between acute pancreatitis and pregnan cy is a rare condition, with an estimated incidence of 1.6 per 10,000 pregnancies. Establishing the diagnosis remains challenging and requires a combination of biological and radiological investigations, followed by prompt and appropriate management. Maternal prognosis is generally favorable, whereas fetal complications are mainly related to preterm delivery and acute fetal distress. Materials and Methods:-This retrospective study was conducted over a five-year period (2019-2023) in the Department of Obstetrics and Gynecology II at the University Hospital of Fez, Morocco. The study included a cohort of 24 pregnant women diagnosed with acute pancreatitis during pregnancy.