SciELO - Scientific Electronic Library Online

 
vol.35 issue4Ball Valve syndrome caused by a colon polyp. Case report (with video)Endoscopic ultrasonography-guided cholecystogastrostomy in a patient with pancreatic cancer: the first case in Colombia (with video) author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista colombiana de Gastroenterología

Print version ISSN 0120-9957On-line version ISSN 2500-7440

Abstract

ROZO-ORTIZ, Edward Jassir; VARGAS-RODRIGUEZ, Ledmar Jovanny; BORDA, Mayra Alejandra  and  NAJAR-MOLANO, Fransol. Acute pancreatitis secondary to severe hypertriglyceridemia: Clinical case. Rev. colomb. Gastroenterol. [online]. 2020, vol.35, n.4, pp.522-526.  Epub July 12, 2021. ISSN 0120-9957.  https://doi.org/10.22516/25007440.388.

Introduction:

Acute pancreatitis is considered an inflammatory process of the pancreas, which results from the activation of digestive enzymes released by this gland. This pathological entity is associated with multiple etiologies.

Case:

37-year-old male with hypogastrium pain irradiated to the back. On physical examination, the patient was tachycardic, hypertensive, with abdominal pain on deep palpation without signs of peritoneal irritation. Laboratory tests showed an elevation of acute phase reactants and pancreatic amylase, and imaging studies showed signs of acute pancreatitis.

Discussion:

Pancreatitis associated with hypertriglyceridemia occurs in 0.5 to 1% of cases. The initial management triad is a clear liquid diet, intravenous hydration, and analgesics. Hypertriglyceridemia can be managed with oral hypolipidemic drugs. When levels are higher than 1 000 mg/dL, plasma exchange can be used due to its good effectiveness, decreasing the values to normal ranges in 80% of the cases with the first session.

Keywords : Pancreatitis; Dyslipidemia; Hypertriglyceridemia; Triglycerides.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )