Familial chylomicronemia syndrome-induced acute necrotizing pancreatitis during pregnancy
Rev. bras. ginecol. obstet
;
43(3): 220-224, Mar. 2021. graf
Artículo
en Inglés
| LILACS
| ID: biblio-1251307
ABSTRACT
Abstract Acute pancreatitis is a rare condition in pregnancy, associated with a high mortality rate. Hypertriglyceridemia represents its second most common cause.We present the case of a 38-year-old woman in the 24th week of gestation with a history of hypertriglyceridemia and recurrent episodes of pancreatitis. She was admitted to our hospital with acute pancreatitis due to severe hypertriglyceridemia. She was stabilized and treated with fibrates. Despite her favorable clinical course, she developed a second episode of acute pancreatitis complicated by multi-organ dysfunction and pancreatic necrosis, requiring a necrosectomy. The pregnancy was ended by cesarean section, after which three plasmapheresis sessions were performed. She is currently asymptomatic with stable triglyceride levels. Acute pancreatitis due to hypertriglyceridemia represents a diagnostic and therapeutic challenge in pregnant women, associated with serious maternal and fetal complications. When primary hypertriglyceridemia is suspected, such as familial chylomicronemia syndrome, the most important objective is preventing the onset of pancreatitis.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Complicaciones del Embarazo
/
Diagnóstico Prenatal
/
Pancreatitis Aguda Necrotizante
/
Hiperlipoproteinemia Tipo I
Tipo de estudio:
Estudio diagnóstico
Límite:
Adulto
/
Femenino
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Rev. bras. ginecol. obstet
Asunto de la revista:
Ginecologia
/
Obstetrícia
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Perú
Institución/País de afiliación:
Hospital Nacional Daniel Alcides Carrion/PE
/
Hospital Nacional Edgardo Rebagliati Martins/PE
/
Hospital Nacional Guillermo Almenara Irigoyen/PE
/
Universidad Nacional de Trujillo/PE
/
Universidad Privada Antenor Orrego/PE
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