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妊娠期间高甘油三酯血症诱发的急性胰腺炎。

Hypertriglyceridemia-induced acute pancreatitis in pregnancy.

作者信息

Serpytis Mindaugas, Karosas Vytautas, Tamosauskas Rokas, Dementaviciene Jurate, Strupas Kestutis, Sileikis Audrius, Sipylaite Jurate

机构信息

Faculty of Medicine, Vilnius University. Vilnius, Lithuania.

出版信息

JOP. 2012 Nov 10;13(6):677-80. doi: 10.6092/1590-8577/1148.

Abstract

CONTEXT

Hypertriglyceridemia is a well known phenomenon of pregnancy occurring due to physiologic changes in sex hormone levels. Occasionally, it could lead to development of acute pancreatitis. Gestational hypertriglyceridemia-induced acute pancreatitis occurs in pregnant women usually with preexisting abnormalities of the lipid metabolism and is associated with additional diagnostic and therapeutic challenges related to hypertriglyceridemia and pregnancy.

CASE REPORT

We present a case of the hypertriglyceridemia-induced acute pancreatitis in pregnant woman with no previous history of lipid abnormality and pregnancy as the only known triggering factor for hypertriglyceridemia.

CONCLUSIONS

Hypertriglyceridemia-induced acute pancreatitis is a rare complication of pregnancy; however, it should be suspected in all pregnant patients admitted for nonobsteric abdominal pain.

摘要

背景

高甘油三酯血症是孕期因性激素水平生理变化而出现的一种众所周知的现象。偶尔,它可能会导致急性胰腺炎的发生。妊娠性高甘油三酯血症诱发的急性胰腺炎通常发生在脂质代谢已有异常的孕妇中,并且与高甘油三酯血症和妊娠相关的额外诊断及治疗挑战有关。

病例报告

我们报告一例妊娠性高甘油三酯血症诱发的急性胰腺炎病例,该孕妇既往无脂质异常病史,妊娠是已知的唯一诱发高甘油三酯血症的因素。

结论

高甘油三酯血症诱发的急性胰腺炎是一种罕见的妊娠并发症;然而,对于所有因非产科腹痛入院的孕妇都应怀疑此病。

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