Post-partum hypertriglyceridemia induced acute pancreatitis

Authors

  • Mahima Arya Department of Obstetrics and Gynecology, Bharati Vidyapeeth and Medical College, Pune, Maharashtra, India
  • Sunita Lalwani Department of Obstetrics and Gynecology, Lalwani Mother and Child Care, Pune, Maharashtra, India
  • Gargee Pore Department of Medicine, Bharati Vidyapeeth and Medical College, Pune, Maharashtra, India
  • Aniket Kakade Department of Obstetrics and Gynecology, Bharati Vidyapeeth and Medical College, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20205262

Keywords:

Diabetic ketoacidosis, Hypertriglyceridemia, Salmon pink blood, Post-partum, Acute pancreatitis

Abstract

Gestational hypertriglyceridemia is well established but is considered an unusual cause of acute pancreatitis with a relatively low incidence. We hereby report a notable triad of hypertriglyceridemia, diabetic ketoacidosis and acute pancreatitis in a woman with 2 months of post-partum status delivered at a private hospital with known case of gestational diabetes mellitus. Presenting with acute abdomen with a surprise on table. Salmon pink coloured blood withdrawn in the vacutainer, turning lactescent post centrifugation. Her serum triglycerides level were 1750 mg/dl, random blood sugar of 870 mg/dl and total cholesterol of 978 mg/dl. Computerized tomography of abdomen was confirmatory of acute pancreatitis. Patient was treated aggressively with intravenous (IV) fluid resuscitation and IV insulin therapy as per diabetic ketoacidosis (DKA) management protocol. She recovered well and was discharged on day 4.

Author Biography

Mahima Arya, Department of Obstetrics and Gynecology, Bharati Vidyapeeth and Medical College, Pune, Maharashtra, India

Junior Resident

Department of Obstetrics and Gynaecology

References

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Published

2020-11-26

Issue

Section

Case Reports