Acute Pancreatitis Secondary to Hypertriglyceridemia during Pregnancy

Author:

Alenezi Raed123,Almutairi Waleed M.4,Saleh Najla23,Aldahash Raed234,Al-Saleh Yousef2345

Affiliation:

1. Specialty Medicine Department, John Hopkins Aramco Health Care, Dhahran, Saudi Arabia

2. College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia

3. King Abdullah International Medical Research Center, Riyadh, Saudi Arabia

4. Department of Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia

5. College of Science, King Saud University, Riyadh, Saudi Arabia

Abstract

Abstract Introduction Hypertriglyceridemia (HTG) (triglycerides > 1,000 mg/dL [11.3 mmol/L]) has been associated with a high risk of developing acute pancreatitis (AP) in pregnant women, but this condition is rare. We present the case of a pregnant Saudi with AP secondary to HTG. Case Report A 27-year-old Saudi female presented at 30 weeks' gestational age with abdominal pain, nausea, and vomiting of 4 days' duration. AP was diagnosed based on clinical presentation, high lipase, and abdominal ultrasound findings. Her triglyceride level was 58 mmol/L. Fenofibrate and intravenous regular insulin infusion with dextrose were started, which decreased triglycerides by the third day from 58.8 to 29 mmol/L (50% reduction) with a further reduction to 11 mmol/L (81%) by day 7 of her admission. Labor was induced at 37 weeks of gestation, and she delivered a healthy neonate. Conclusion We report successful treatment of AP in pregnancy with intravenous insulin and fenofibrate. Several case reports have discussed the therapeutic option of AP induced by HTG in pregnancy. Lipid-lowering agents are category C in pregnancy. However, few case reports indicate their safety. Insulin, heparin, and apheresis have also been used during pregnancy without any complications.

Publisher

Georg Thieme Verlag KG

Reference18 articles.

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2. Recurrent hypertriglyceridemia-induced pancreatitis in pregnancy: a management dilemma;A A Abu Musa;Pancreas,2006

3. Clinical assessment of hyperlipidemic pancreatitis;M R Fortson;Am J Gastroenterol,1995

4. Hyperlipidemic pancreatitis;P P Toskes;Gastroenterol Clin North Am,1990

5. Acute pancreatitis due to hypertriglyceridaemia in pregnancy;F Gök;Turk J Anaesthesiol Reanim,2015

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