Nazeef Mohamed, Devkota Sagar, Mainali Sumnima, Thapa Yubaraj, Upadhyay Sristi, Yadav Priyanka, Shrestha Jeena
Department of Internal Medicine Kulhudhuffushi Regional Hospital Kulhudhuffushi Maldives.
Department of Anesthesiology and Critical Care Kulhushuffushi Regional Hospital Kulhudhuffushi Maldives.
Clin Case Rep. 2023 Sep 19;11(9):e7811. doi: 10.1002/ccr3.7811. eCollection 2023 Sep.
Managing acute pancreatitis secondary to hypertriglyceridemia in pregnancy is challenging. The use of intravenous insulin along with lipid lowering drugs can be an option in settings where plasmapharesis and gene therapy are unavailable.
Acute pancreatitis secondary to hypertriglyceridemia is rare but various studies have highlighted it as the third most common cause following gallstones and alcohol consumption. Managing acute pancreatitis is always challenging; even more challenging during pregnancy. We present a case of a 31-year- old female with a history of recurrent pancreatitis secondary to hypertriglyceridemia with a current episode of acute pancreatitis at 21 weeks of gestation.
治疗妊娠期继发于高甘油三酯血症的急性胰腺炎具有挑战性。在无法进行血浆置换和基因治疗的情况下,使用静脉胰岛素联合降脂药物可能是一种选择。
继发于高甘油三酯血症的急性胰腺炎较为罕见,但多项研究已将其列为仅次于胆结石和酒精摄入的第三大常见病因。治疗急性胰腺炎始终具有挑战性;在妊娠期则更具挑战性。我们报告一例31岁女性病例,该患者有继发于高甘油三酯血症的复发性胰腺炎病史,在妊娠21周时发生了急性胰腺炎。