Acute hyperlipidemic pancreatitis in a pregnant woman

doi:10.5847/wjem.j.issn.1920-8642.2013.04.013

Abstract

Abstract:

BACKGROUND: Acute pancreatitis is a serious complication during pregnancy, however the incidence of hyperlipidemia induced by pancreatitis is lower.
METHODS: We treated a pregnant woman with hypertriglyceridemia-associated acute gestational pancreatitis who simultaneously developed hypoxemic acute respiratory failure (ARF).
RESULTS: The woman was successfully treated through noninvasive positive pressure ventilation (NPPV), emergent caesarean delivery, drainage of chylous ascites, and peritoneal lavage.
CONCLUSION: The signs and symptoms of ARF were greatly improved in this patient after NPPV and conventional therapies. Early NPPV may be related to good prognosis of the disease.

Key words: Hyperlipidemia, Pancreatitis, Pregnancy

Ying Hang, Yi Chen, Li-xiong Lu, Chang-qing Zhu. Acute hyperlipidemic pancreatitis in a pregnant woman[J]. World Journal of Emergency Medicine, 2013, 4(4): 311-313.

Figures/Tables 1

References 12

1	Crisan LS, Steidl ET, Rivera-Alsina ME. Acute hyperlipidemic pancreatitis in pregnancy. Am J Obstet Gynecol 2008; 198:e57-59. pmid: 18359475
2	Serpytis M, Karosas V, Tamosauskas R, Dementaviciene J, Strupas K, Sileikis A, et al. Hypertriglyceridemia-induced acute pancreatitis in pregnancy. JOP 2012; 13:677-680. pmid: 23183399
3	Yadav D, Pitchumoni CS. Issues in hyperlipidemic pancreatitis. J Clin Gastroenterol 2003; 36:54-62. doi: 10.1097/00004836-200301000-00016 pmid: 12488710
4	Eskandar O, Eckford S, Roberts TL. Severe, gestational, non-familial, non-genetic hypertriglyceridemia. J Obstet Gynaecol Res 2007; 33:186-189. pmid: 17441893
5	Song RR, Qiu YP, Chen YJ, Ji Y. Application of fiberoptic bronchscopy in patients with acute exacerbations of chronic obstructive pulmonary disease during sequential weaning of invasive-noninvasive mechanical ventilation. World J Emerg Med 2012; 3:29-34. pmid: 25215035
6	Sun B, Xu DS, Jiang HC, Tai S, Cui YF, Xu J, et al. Study on combined therapy of hyperlipidemic severe acute pancreatitis. Zhonghua Wai Ke Za Zhi 2007; 45:733-735. pmid: 17825192
7	Chuang SC, Lee KT, Wang SN, Kuo KK, Chen JS. Hypertriglyceridemia-associated acute pancreatitis with chylous ascites in pregnancy. J Formos Med Assoc 2006; 105:583-587. pmid: 16877239
8	Al-Humoud H, Alhumoud E, Al-Hilali N. Therapeutic plasma exchange for acute hyperlipidemic pancreatitis: a case series. Ther Apher Dial 2008; 12:202-204. doi: 10.1111/j.1744-9987.2008.00572.x pmid: 18503696
9	Zhang G, Feng J, Xu QP, Huang HY. Double filtration plasmapheresis in treatment of hyperlipidemic acute pancreatitis. Zhejiang Da Xue Xue Bao Yi Xue Ban 2008; 37:93-96. pmid: 18275127
10	Kyriakidis AV, Raitsiou B, Sakagianni A, Harisopoulou V, Pyrgioti M, Panagopoulou A, et al. Management of acute severe hyperlipidemic pancreatitis. Digestion 2006; 73:259-264. pmid: 16940728
11	Kadikoylu G, Yavasoglu I, Bolaman Z. Plasma exchange in severe hypertriglyceridemia a clinical study. Transfus Apher Sci 2006; 34:253-257. doi: 10.1016/j.transci.2005.11.009 pmid: 16798091
12	Batashki I, Milchev N, Uchikova E, Pekhlivanov B, Chifligarov K, Uchikov A. Hyperlipidemic pancreatitis during pregnancy-a case report. Akush Ginekol (Sofiia) 2006; 45 Suppl 1: 41-43.

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