Rius Riu F, Pizarro Lozano E, Reverter Calatayud J L, Gener Rexach J, Bechini J, Salinas Vert I
Sección de Endrocrinologia, Hospital Germans Trias i Pujol, Badalona, Universitat Autònoma de Barcelona.
Med Clin (Barc). 1993 Nov 13;101(16):622-4.
A 19 years old patient who presented grade D acute pancreatitis by abdominal CT with marked hypertriglyceridemia during a diabetic ketoacidosis (DKA) in the onset of a type I diabetes mellitus is described. The pancreatitis and DKA were resolved with the usual treatment, and the levels of triglycerides became normal within one week. Hyperamylasemia is frequent in DKA although of uncertain significance. Acute pancreatitis coinciding with DKA has been described, in this case radiologic findings demonstrated the diagnosis. No other bibliographic references have been found in which pathologic imaging in abdominal CT are described in a situation of DKA with hyperamylasemia. Moderate hypertriglyceridemia is common upon initiation of diabetes mellitus and likewise it usually presents during the course of acute pancreatitis. Pancreatitis could be secondary to hypertriglyceridemia and the latter to the insulin deficiency.
本文描述了一名19岁的患者，在I型糖尿病发病时因糖尿病酮症酸中毒（DKA）出现腹部CT显示为D级急性胰腺炎，并伴有明显的高甘油三酯血症。胰腺炎和DKA经常规治疗后得到缓解，甘油三酯水平在一周内恢复正常。高淀粉酶血症在DKA中很常见，但其意义尚不确定。已有DKA合并急性胰腺炎的报道，在该病例中，影像学检查结果证实了诊断。尚未发现其他文献提及在伴有高淀粉酶血症的DKA情况下腹部CT的病理影像学表现。糖尿病发病初期中度高甘油三酯血症很常见，同样它也常出现在急性胰腺炎病程中。胰腺炎可能继发于高甘油三酯血症，而高甘油三酯血症继发于胰岛素缺乏。
