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1.
Rev. bras. ginecol. obstet ; 43(3): 220-224, Mar. 2021. graf
Artigo em Inglês | LILACS | ID: biblio-1251307

RESUMO

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.


Assuntos
Humanos , Feminino , Gravidez , Adulto , Complicações na Gravidez/diagnóstico , Diagnóstico Pré-Natal , Pancreatite Necrosante Aguda/diagnóstico , Hiperlipoproteinemia Tipo I/diagnóstico , Complicações na Gravidez/diagnóstico por imagem , APACHE , Pancreatite Necrosante Aguda/complicações , Pancreatite Necrosante Aguda/diagnóstico por imagem , Diagnóstico Diferencial , Hiperlipoproteinemia Tipo I/complicações , Hiperlipoproteinemia Tipo I/diagnóstico por imagem
2.
Rev Bras Ginecol Obstet ; 43(3): 220-224, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33601464

RESUMO

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.


Assuntos
Hiperlipoproteinemia Tipo I/diagnóstico , Pancreatite Necrosante Aguda/diagnóstico , Complicações na Gravidez/diagnóstico , Diagnóstico Pré-Natal , APACHE , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Hiperlipoproteinemia Tipo I/complicações , Hiperlipoproteinemia Tipo I/diagnóstico por imagem , Pancreatite Necrosante Aguda/complicações , Pancreatite Necrosante Aguda/diagnóstico por imagem , Gravidez , Complicações na Gravidez/diagnóstico por imagem
3.
Arch. Soc. Esp. Oftalmol ; 95(12): 611-614, dic. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-197761

RESUMO

CASO CLÍNICO: Presentamos tres casos de pacientes con hiperquilomicronemia familiar y lipemia retinalis, y analizamos de forma comparada las características fundoscópicas de cada uno de ellos. DISCUSIÓN: El aspecto característico del fondo retiniano en color salmón-pálido corresponde con grados severos de lipemia retinalis. Los hallazgos relativos a la tonalidad del árbol vascular en segmentos distales constituyen probablemente el dato exploratorio que mejor orienta el diagnóstico oftalmológico en niveles inferiores de hipertrigliceridemia


CASES REPORT: Three cases are presented of patients with familial hyperchylomicronaemia and lipaemia retinalis, in whom an analysis is made of the fundoscopic characteristics of each of them. DISCUSSION: The typical appearance of the retinal fundus is pale salmon coloured and corresponds to levels of severe lipaemia retinalis. As regards the findings, the vascular tree tonality is probably the best exploratory evidence to help in the ophthalmological diagnosis


Assuntos
Humanos , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Hiperlipoproteinemia Tipo I/diagnóstico por imagem , Oftalmoscopia/métodos , Hiperlipidemias/diagnóstico por imagem , Doenças Retinianas/diagnóstico por imagem , Hiperlipoproteinemia Tipo I/patologia , Hiperlipidemias/patologia , Doenças Retinianas/patologia , Fundo de Olho
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