Hyperlipemic pancreatitis and pseudocyst formation in late pregnancy.
Hyperlipemic pancreatitis and pseudocyst formation late in pregnancy is a rare event. We report a case of hyperlipemic pancreatitis occurring in a G1P0 oriental woman at 32 weeks gestation. The initial serum lipase level was 1070 U/L, serum cholesterol level was 38.50 mmol/L and triglyceride level was > 57 mmol/L. She was treated conservatively with fasting, narcotic analgesia, and fluid resuscitation. Her symptoms resolved rapidly and lipase returned to normal within 2 days. During the first week in hospital she developed peripancreatic fluid collections and became symptomatic from a collection that extended down into the right pelvis. One week after admission she developed pre-term labor and delivered a healthy infant vaginally. There was an excellent outcome for both mother and infant. Serum lipid levels returned to near normal by 6 weeks post delivery.
Qin
Huadong
H
Department of Surgery, Peter Lougheed Hospital, University of Calgary, Canada.
Goldstein
Leonal
L
Iwanicke
Stan
S
Mackay
Elizabeth
E
Sutherland
Francis
F
D000328:Adult; D002784:Cholesterol / Q000097:blood; D005113:Extraction, Obstetrical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006949:Hyperlipidemias / Q000000981:diagnostic imaging* / Q000628:therapy; D007231:Infant, Newborn; D008049:Lipase / Q000097:blood; D008055:Lipids / Q000097:blood; D008297:Male; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging*; D010195:Pancreatitis / Q000000981:diagnostic imaging* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011263:Pregnancy Trimester, Third; D011644:Puerperal Disorders / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014280:Triglycerides / Q000097:blood
D008055:Lipids; D014280:Triglycerides; D002784:Cholesterol; D008049:Lipase