Pujar Anupama K, Kumar V R Anil, M Sridhar, S V Kulkarni
Assistant Professor, MSRMC .
J Clin Diagn Res. 2013 Jun;7(6):1169-71. doi: 10.7860/JCDR/2013/5500.3080. Epub 2013 Apr 29.
Hypertriglyceridaemia is a well-known but uncommon cause of acute pancreatitis. A serum triglyceride level of more than 1000mg/dl is needed to precipitate the pancreatitis. A 35 year male patient, who was a known diabetic who was on oral hypoglycaemics, presented to us with pain in the abdomen and vomiting of one day's duration. His serum amylase was normal. The serum was highly lactescent. The triglycerides were 1901mg/dl. CECT of the abdomen showed features which were suggestive of pancreatitis. The patient was managed just as the pancreatitis of any other eitiology. He was started on fibrates, atorvastatin, and antioxidants to prevent a relapse. His diabetes was controlled by insulin. He recovered well.
高甘油三酯血症是急性胰腺炎一种广为人知但并不常见的病因。引发胰腺炎需要血清甘油三酯水平超过1000mg/dl。一名35岁男性患者，已知患有糖尿病且正在服用口服降糖药，因持续一天的腹痛和呕吐前来就诊。他的血清淀粉酶正常。血清高度浑浊。甘油三酯为1901mg/dl。腹部CT增强扫描显示出提示胰腺炎的特征。该患者的治疗方式与其他病因引起的胰腺炎相同。开始使用贝特类药物、阿托伐他汀和抗氧化剂以预防复发。他的糖尿病通过胰岛素控制。他恢复良好。
