Hypertriglyceridemia induced acute pancreatitis in pregnancy.

Choi, Hyo Seong; Park, Jee Hyun; Kim, Jee Yeon; Im, Moon Whan; Lee, Byoung Ick; Lee, Woo Young

Case Report

Korean Journal of Obstetrics & Gynecology 2008;51(12):1514-1518.
Published online December 1, 2008.

Hypertriglyceridemia induced acute pancreatitis in pregnancy.

Hyo Seong Choi, Jee Hyun Park, Jee Yeon Kim, Moon Whan Im, Byoung Ick Lee, Woo Young Lee

Department of Obstetrics and Gynecology, College of Medicine, Inha University, Inchon, Korea. p0928@inha.ac.kr

Abstract

Hypertriglyceridemia is a rare cause of pancreatits. However the relationship between acute pancreatits and severe hypertrigyceridemia is well recognized. It can be a life- threatening complication if the degree of hypertrigyceridemia is severe enough. A serum triglyceride level of more than 1,000 to 2,000 mg/dL is the identifiable risk factor. The clinical course and management of hypertriglyceridemia induced acute pancreatitis is not different from other causes. The clinical course and management of hypertriglyceridemia induced acute pancreatitis during pregnancy are similar to the one during nonpregnant state. The prevalence of acute pancreatitis in pregnancy ranges between 1 in 1,000 to 1 in 3,000. Gestational hypertrigyceridemic pancreatits can be fatal, and maternal morbidity rate has an upward trend of 20%. We report a 31-year-old woman with coexistence of hypertrigyceridemia and acute pancreatits at 32 weeks gestation with a brief review of the literatures.

Key Words: Acute pancreatits, Hypertrigyceridemia, Pregnancy