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Published on: June 28, 2021
Acute pancreatitis secondary to oral contraceptive-induced hypertriglyceridemia: a case report
Matheo Augusto Morandi Stumpf1, Ana Claudia Garabeli Cavalli Kluthcovsky1, Jefferson Matsuiti Okamoto1
1a Departamento de Medicina , Universidade Estadual de Ponta Grossa , Ponta Grossa , Brazil.
Abstract:
Hypertriglyceridemia is the third most common cause of acute pancreatitis. Among the causes that lead to secondary hypertriglyceridemia, the use of contraceptive agents is the main reason to be assessed in young women. We report a case of a 31-year-old woman who had suffered two acute pancreatitis episodes secondary to hypertriglyceridemia. In the investigation, the previous medical team indicated a genetic screening before ruling out all secondary causes. LPL, apo CII and apo AV genes were negative for mutations. In the first appointment with us, the patient reported the use of a contraceptive agent for about 2 years. She was instructed to discontinue the drug. After one year of follow-up, her serum triglycerides are within the normal range and a copper intrauterine device was the method chosen by the patient for contraception.
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