Science & Research (Feb 2019)
HYPERLIPIDEMIC ACUTE PANCREATITIS: A CASE-BASED REVIEW
Abstract
Hypertriglyceridemia is a rare cause of acute pancreatitis (accounts for about 1–7% of all cases of acute pancreatitis in large series). The aim of this publication is to discuss the incidence of hypertriglyceridemia-induced pancreatitis, using a case-based approach. A case of 33-year-old woman with hyperlipidemic acute pancreatitis is presented. The woman was hospitalized due to severe abdominal pain, epigastric tenderness, biochemical and abdominal sonographyc evidences of acute pancreatitis. There was no history of alcohol consumption and biliary disease. The past medical history established hyperlipidemia, treated with diet alone, and diabetes mellitus-type II. Subsequent laboratory investigation revealed marked hypertriglyceridemia. Emergent laparotomy was performed with severe necrotizing pancreatitis as an operative finding. Postoperative treatment was conducted in the intensive care unit. The woman died at the 3th postoperative day. In a case-based approach we present the proposed mechanisms and the severity of hyperlipidemic acute pancreatitis.
