Abstract

HERRERA DEL AGUILA, Dwight Denis; GARAVITO RENTERIA, Jorge; LINAREZ MEDINA, Karen  and  LIZARZABURU RODRIGUEZ, Víctor. Severe hypertriglyceridemia induced acute pancreatitis: a case report and review of the literature. Rev. gastroenterol. Perú [online]. 2015, vol.35, n.2, pp.159-164. ISSN 1022-5129.

Hypertriglyceridemia-induced acute pancreatitis occurs in about 1-4% of the cases. It is the third leading cause of pancreatitis after biliary and alcoholic etiology. Hypertriglyceridemia can be caused by primary causes, lipid metabolism disorders and secondary causes. A 32 year old man, born in Huancayo, with a history of diabetes mellitus type 2, severe mixed dyslipidemia with primary hypertriglyceridemia, was admitted to emergency with 10 days of abdominal pain with moderate intensity in epigastrium and left hypochondrium spreading to dorsal region after intake of high-fat meal. 24 hours before admission, pain exacerbates increasing intensity and causing nausea and bilious vomits. Therefore, all laboratory examinations are carried out resulting in hypertriglyceridemia-induced acute pancreatitis. For that reason, an adequate clinical history physical examination associated with laboratory and image examinations are important to consider hypertriglyceridemia as part of the etiology of acute pancreatitis.

Keywords : Acute pancreatitis; dyslipidemia; hypertriglyceridemia.

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