[A case of hypertriglycideremia-induced pancreatitis in pregnancy: value of heparin].
We report the case of a 28-year-old secundipari with a history of severe hypertriglycideremia-induced pancreatitis 3 years ago who was admitted in the 37th week of gestation with abdominal pain. A blood sample had a milky aspect and plasma concentrations were as follows: triglycerides 8,5g/l, cholesterol 1000 mg/dl, amylase 574 IU/l, lipase 1310 IU/l. Acute pancreatitis was diagnosed, a caesarean was performed under spinal anaesthesia. The diagnosis was confirmed by CT-scan. Treatment with 15,000 IU heparin per day and intravenous nutrition decreased triglycerides level to less than 1g/l within 48 h. She was discharged 28 days later. Heparin could be a low-cost alternative to plasmapheresis in hypertriglycideremia-induced pancreatitis.
Sleth
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JC
Clinique Saint-Roch, 43, rue du Faubourg-St-Jaumes, 34967 Montpellier cedex 2, France. jean-christian.sleth@wanadoo.fr <jean-christian.sleth@wanadoo.fr>
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Servais
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Saizy
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Pluskwa
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Huet
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Vérin
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D000208:Acute Disease; D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D000925:Anticoagulants / Q000627:therapeutic use*; D002585:Cesarean Section; D002784:Cholesterol / Q000097:blood; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D015228:Hypertriglyceridemia / Q000150:complications*; D010195:Pancreatitis / Q000209:etiology*; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy*; D014280:Triglycerides / Q000097:blood
D000925:Anticoagulants; D014280:Triglycerides; D006493:Heparin; D002784:Cholesterol