A case of acute pancreatitis induced by hypertriglyceridemia in gestational diabetes.

Kim, Geun Hee; Jun, Hyun Ah; Song, Ji Eun; Lee, Keun Young; Kim, Sun Suk

doi:2010.53.6.535

Obstet Gynecol Sci > Volume 53(6); 2010 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(6):535-539.
DOI: https://doi.org/10.5468/kjog.2010.53.6.535 Published online June 1, 2010.

A case of acute pancreatitis induced by hypertriglyceridemia in gestational diabetes.

Geun Hee Kim, Hyun Ah Jun, Ji Eun Song, Keun Young Lee, Sun Suk Kim

Department of Obstetrics and Gynecology, Hallym University College of Medicine, Seoul, Korea. ju47005@hallym.ac.kr

Abstract

Hypertriglyceridemia is a rare cause of pancreatitis in pregnancy. Pregnancy is related with hypertriglyceridemia especially in the 3rd trimester due to increase of estrogen. Diabetes is known as a common cause of secondary lipid metabolism disorder and is often associated with hypertriglyceridemia. Shock and sepsis related to pancreatitis in pregnancy result in a relatively high morbidity and mortality rate for both the mother and the fetus. Hypertriglyceridemic pancreatitis complicated in gestational diabetes has not previously been reported. We report a case of 26(+4) weeks gestational aged primigravida with acute pancreatitis induced by hypertriglyceridemia in gestational diabetes. We reviewed the clinical courses and treatments of acute pancreatitis in pregnancy with the literatures.

Key Words: Gestational diabetes, Hypertriglyceridemia, Acute pancreatitis