A Rare Case of Hypertriglyceridemic Acute Pancreatitis with Normal Serum Amylase and Pancreatic Imaging

This case report describes a rare instance of hypertriglyceridemic acute pancreatitis (HTG-AP) in which both the serum amylase level and pancreatic imaging showed no significant abnormalities, presenting a significant diagnostic challenge. The case emphasizes the importance of identifying chylous serum during amylase testing as a key diagnostic clue. Upon reviewing the patient's electronic medical records and correlating the clinical presentation of persistent abdominal pain, the laboratory team raised suspicion of HTG-AP. A series of confirmatory steps, including serum dilution and close communication with the clinical team, ultimately led to a timely and accurate diagnosis. After receiving symptomatic and etiological treatment, the patient made a full recovery and had a favorable prognosis.