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[Hypertriglyceridemic pancreatitis and pregnancy].

Y Sanduende Otero1, A Figueira Moure, P Rama-Maceiras

  • 1Servicio de Anestesiología y Reanimación, Complexo Hospitalario Universitario Juan Canalejo, Xubias de Arriba 84, 15006 A Coruña. yso@eresmas.com

Revista Espanola De Anestesiologia Y Reanimacion
|February 3, 2004
PubMed
Summary

This case study highlights acute pancreatitis in pregnancy, a rare but serious condition. Prompt diagnosis and management, including cesarean delivery, led to favorable outcomes for both mother and neonate.

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Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology
  • Critical Care Medicine

Background:

  • Pregnancy-associated pancreatitis is uncommon but carries significant risks.
  • Familial hypertriglyceridemia can be exacerbated during pregnancy, posing a metabolic challenge.

Observation:

  • A 33-year-old patient presented with symptoms of acute pancreatitis at 36 weeks gestation.
  • Elevated triglyceride levels (2173 mg/dL) and other biochemical markers indicated severe pancreatitis.

Findings:

  • Acute pancreatitis was diagnosed and managed conservatively post-cesarean delivery.
  • The neonate was healthy, and the patient recovered favorably.

Implications:

  • This case underscores the importance of recognizing rare metabolic causes of pancreatitis during pregnancy.

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  • Timely diagnosis and multidisciplinary management are crucial for improving maternal and fetal outcomes.