Hypertriglyceridemic Pancreatitis and Pregnancy: A Case Report

Background & aim:  Elevated triglyceride levels in women with hereditary forms of hypertriglyceridemia may involve the risk of pancreatic attacks during pregnancy. Case report:In this study, we present the clinical course of a 42-year-old pregnant woman with two vaginal deliveries and one cesare...

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Main Authors: Marzieh Lotfalizadeh, Mahnaz Broumand Rezazadeh
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2015-09-01
Series:Journal of Midwifery & Reproductive Health
Subjects:
Online Access:http://jmrh.mums.ac.ir/article_4808_9b1ba93b9ff5f4f5ae36196f080d8d55.pdf
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author Marzieh Lotfalizadeh
Mahnaz Broumand Rezazadeh
author_facet Marzieh Lotfalizadeh
Mahnaz Broumand Rezazadeh
author_sort Marzieh Lotfalizadeh
collection DOAJ
description Background & aim:  Elevated triglyceride levels in women with hereditary forms of hypertriglyceridemia may involve the risk of pancreatic attacks during pregnancy. Case report:In this study, we present the clinical course of a 42-year-old pregnant woman with two vaginal deliveries and one cesarean section (gravidity: 4, parity: 3, live: 2, death: 1) admitted to our hospital. Gestational age was 33-34 weeks based on the last menstrual period and ultrasound results. Although hypertriglyceridemia and pancreatitis were controlled by pancreatitis treatment, intrauterine fetal death occurred in the patient. In addition, fish oil, gemfibrozil and antum were administered to decrease serum triglyceride (TG) levels. Finally, the patient was discharged with good general conditions and a TG level of ≤200 mg/dl four weeks after the onset of the disease. Conclusion: Hyperlipidemic pancreatitis is associated with maternal and fetal mortality and morbidity. Therefore, treatments should be initiated immediately after the diagnosis of this disease during pregnancy. Complications caused by elevated TG levels could be prevented with appropriate and timely interventions.
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spelling doaj.art-1a29fd625bb24d9a94a52cc3034340042022-12-22T01:44:25ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922345-47922015-09-01344834874808Hypertriglyceridemic Pancreatitis and Pregnancy: A Case ReportMarzieh Lotfalizadeh0Mahnaz Broumand Rezazadeh1Associated Professor, Women’s Health Research Center, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranResident of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranBackground & aim:  Elevated triglyceride levels in women with hereditary forms of hypertriglyceridemia may involve the risk of pancreatic attacks during pregnancy. Case report:In this study, we present the clinical course of a 42-year-old pregnant woman with two vaginal deliveries and one cesarean section (gravidity: 4, parity: 3, live: 2, death: 1) admitted to our hospital. Gestational age was 33-34 weeks based on the last menstrual period and ultrasound results. Although hypertriglyceridemia and pancreatitis were controlled by pancreatitis treatment, intrauterine fetal death occurred in the patient. In addition, fish oil, gemfibrozil and antum were administered to decrease serum triglyceride (TG) levels. Finally, the patient was discharged with good general conditions and a TG level of ≤200 mg/dl four weeks after the onset of the disease. Conclusion: Hyperlipidemic pancreatitis is associated with maternal and fetal mortality and morbidity. Therefore, treatments should be initiated immediately after the diagnosis of this disease during pregnancy. Complications caused by elevated TG levels could be prevented with appropriate and timely interventions.http://jmrh.mums.ac.ir/article_4808_9b1ba93b9ff5f4f5ae36196f080d8d55.pdfAcute pancreatitisHyperlipidemiaHypertriglyceridemiaPregnancy
spellingShingle Marzieh Lotfalizadeh
Mahnaz Broumand Rezazadeh
Hypertriglyceridemic Pancreatitis and Pregnancy: A Case Report
Journal of Midwifery & Reproductive Health
Acute pancreatitis
Hyperlipidemia
Hypertriglyceridemia
Pregnancy
title Hypertriglyceridemic Pancreatitis and Pregnancy: A Case Report
title_full Hypertriglyceridemic Pancreatitis and Pregnancy: A Case Report
title_fullStr Hypertriglyceridemic Pancreatitis and Pregnancy: A Case Report
title_full_unstemmed Hypertriglyceridemic Pancreatitis and Pregnancy: A Case Report
title_short Hypertriglyceridemic Pancreatitis and Pregnancy: A Case Report
title_sort hypertriglyceridemic pancreatitis and pregnancy a case report
topic Acute pancreatitis
Hyperlipidemia
Hypertriglyceridemia
Pregnancy
url http://jmrh.mums.ac.ir/article_4808_9b1ba93b9ff5f4f5ae36196f080d8d55.pdf
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