Ketoacidosis with Hypertriglyceridemia-Induced Pancreatitis in a Patient with Gestational Diabetes: A Case Report
Endocrinology and Metabolism
;
: 89-92, 2012.
Article
in English
| WPRIM
| ID: wpr-107379
ABSTRACT
Hypertriglyceridemia-induced acute pancreatitis in pregnancy is not a common complication. Moreover, ketoacidosis in gestational diabetes occurs rarely. Here we report a case of ketoacidosis with hypertriglyceridemia-induced pancreatitis in a patient with gestational diabetes that was successfully treated with insulin and supportive care. In this case, a 36-year-old woman (at 32 weeks' gestation) was diagnosed with gestational diabetes 4 weeks prior, but did not have well controlled blood sugar. She complained of severe epigastric pain concomitant with nausea and vomiting. Radiology and laboratory tests found hypertriglyceridemia (1,996 mg/dL), acute pancreatitis, and ketoacidosis with absence of fetal deceleration on a non-stress test. The patient's condition improved with insulin therapy and fluid replacement. To our knowledge, this is the first report of a case of ketoacidosis with hypertriglyceridemia-induced pancreatitis in a patient with gestational diabetes.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatitis
/
Vomiting
/
Blood Glucose
/
Hypertriglyceridemia
/
Diabetes, Gestational
/
Deceleration
/
Insulin
/
Ketosis
/
Nausea
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
Endocrinology and Metabolism
Year:
2012
Type:
Article
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