Hypertriglyceridemia induced acute pancreatitis in pregnancy is a rare and life threatening situation.This pathology is associated with high maternal and fetal mortality and morbidity. Case report: A 24 years old Moroccan women Para 1 Gravida 1 was presented to our Emergency Department of Gynecology and Obstetrics of Moulayabdeallah Hospital, Essaouira, Morocco, at 38 weeks of gestation for acute onset of abdominal pain and uterine contractions. Physical exam revealed signs of severe sepsis. Immediate measures of resuscitation were performed. Emergent cesarean delivery and laparotomy revealed chylous ascites in the abdomen. Blood tests showed a high rate of triglyceride. Through this case report, we want to raise awareness of this medical situation that require immediate recognition because any delay can cause catastrophic consequences for both, the mother and the fetus.
| [1] | D. Altun, G. Eren, Z. Cukurova, O. Herg¨unsel, L. Yasar, “An alternative treatment in hypertriglyceridemia-induced acute pancreatitis in pregnancy: plasmapheresis,” Journal of AnaesthesiologyClinical Pharmacology, vol. 28, no. 2, pp. 252-254, 2012.View Article PubMed |
| [2] | M. Serpytis, V. Karosas, R. Tamosauskas et al., “Hypertriglyceridemia- induced acute pancreatitis in pregnancy,” Journal ofthe Pancreas, vol. 13, no. 6, pp. 677-680, 2012. |
| [3] | Joong HoBae, Sang Hyun Baek, Ho Soon Choi et al, “Acute Pancreatitis due to Hypertriglyceridemia: Report of 2 Cases” Korean J Gastroenterol 46: 475-480;2005. PubMed |
| [4] | N. Gupta, A. Seema, L. Shaffer, P. Cavens, J. Blankstein “Severe Hypertriglyceridemia Induced Pancreatitis in Pregnancy” Case Reports in Obstetrics and Gynecology Volume 2014, Article ID 485493, 5 pages. |
| [5] | A. Goldberg, R.Hegele. “Severe Hypertriglyceridemia in Pregnancy”. ClinEndocrinolMetab 97: 2589-2596, 2012.View Article PubMed |