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2018, Number 6

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Med Crit 2018; 32 (6)

Acute pancreatitis during pregnancy secondary to mixed dyslipidemia. Case report

León CFF, Hernández LMG
Full text How to cite this article 10.35366/TI186E

DOI

DOI: 10.35366/TI186E
URL: https://dx.doi.org/10.35366/TI186E

Language: Spanish
References: 6
Page: 359-361
PDF size: 271.20 Kb.


Key words:

Pregnancy, pancreatitis, dyslipidemia.

ABSTRACT

Sixteen-year-old female, with a 17-week pregnancy at the time of admission to the hospital; she referred epigastric pain after food transgression, accompanied by nausea, which reached emesis with gastro-alimentary content ; she had diabetes mellitus 1 plus a history of severe acute pancreatitis secondary to hyperlipidemia at age 14, appendectomy at age 15 and a urinary tract infection in the first trimester; paraclinical tests were performed, with the following relevant results: leukocytes 15,600, amylase 1,117, lipase 1,200, lipemic serum ++++, triglycerides 2,840, cholesterol 705, HDL 20, DHL 289, SGOT 14, SGPT 6, FA 60 and total bilirubin 0.5 pg/dL, which led to the diagnosis of acute pancreatitis secondary to mixed dyslipidemia. Laboratory tests were performed in her siblings and the female branch was positive, with elevation of cholesterol and triglycerides; therefore we concluded that it was a familial combined dyslipidemia, which motivated its publication.


REFERENCES

  1. Pitchumoni CS, Yegneswaran B. Acute pancreatitis in pregnancy. World J Gastroenterol. 2009;15(45):5641-5646.

  2. Ducarme G, Maire F, Chatel P, Luton D, Hammel P. Acute pancreatitis during pregnancy: a review. J Perinatol. 2014;34(2): 87-94.

  3. Tang SJ, Rodriguez-Frias E, Singh S, Mayo MJ, Jazrawi SF, Sreenarasimhaiah J, et al. Acute pancreatitis during pregnancy. Clin Gastroenterol Hepatol. 2010;8(1):85-90.

  4. Aguilar-Salinas CA, Huertas A, Tusié MT, Gómez-Pérez FJ, Rull JA. Hiperlipidemia familiar combinada: caracterización en población mexicana. Rev Endocrinol Nutr. 2002;10(2):58-62.

  5. Briones-Garduño JC, García-Ochoa ED, Zavala-Castillo JC, Campos-Castillo C, Sandoval-Ayala OI, Briones-Vega CG, et al. Pancreatitis y embarazo. Rev Asoc Mex Med Crit y Ter Int. 2014;28(3):159-163.

  6. Ntzeros K, Fragiadakis I, Stamatakos M. Acute pancreatitis in pregnancy-Up to Date. Open J Obstet Gynecol. 2014;4:81-89.




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Med Crit. 2018;32