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The Korean Journal of Medicine 2009;77(1): 104-108.
임신 중 발생한 고중성지방혈증에 의한 급성 췌장염 1예
강지영, 최관용, 정희석, 이달식, 주혜진, 배일헌, 박선미
Hypertriglyceridemia-induced acute pancreatitis in pregnancy: A case report
Ji Young Kang, Guan Yong Choi, Hee Seog Jeong, Dal Sic Lee, Hye Jin Joo, Il Hun Bae, Seon Mee Park
ABSTRACT
Hypertriglyceridemia-induced pancreatitis is a rare, but serious, complication of pregnancy. We report a case of acute pancreatitis associated with type V hyperlipoproteinemia in pregnancy. A 36-year- old primigravida was admitted at 16 weeks of gestation with severe abdominal pain. Chemical analysis showed high serum pancreatic enzymes and very high serum triglyceride. Abdominal magnetic resonance imaging (MRI) showed diffuse swelling of the pancreas and a peripancreatic fluid collection. A diagnosis of acute pancreatitis with type V hyperlipoproteinemia was made. She recovered from the acute pancreatitis with conservative management and the serum triglyceride decreased rapidly with dietary restriction of fat, insulin/glucose, fenofibrate, and omega-3. We review the management of hypertriglyceridemia-induced acute pancreatitis in pregnancy. (Korean J Med 77:104-108, 2009)
Keywords: Hypertriglyceridemia; Pancreatitis; Pregnancy
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