title: [Severe gestational hypertriglyceridemia: related complications and management].
abstract: We present two cases of severe hypertriglyceridemia (HTG>10g/l) in pregnancy. The first reports the case of a primigravida with mild HTG before conception. Triglycerides (TG) increased thereafter (20.9g/l) during pregnancy causing pancreatitis and in utero fetal death at 24 weeks' gestation (WG). The second deals with the de novo occurrence of a severe HTG (19g/l) diagnosed incidentally at 34 WG and complicated by acute renal failure. Severe HTG in pregnancy threatens maternal and fetal prognosis. We have summarized the curative and preventive management of gravidic HTG.
authors.affiliation: Service de gynécologie-obstétrique, hospices civils de Lyon, université Claude-Bernard-Lyon-I, hôpital de la Croix-Rousse, 93, Grande rue de la Croix-Rousse, 69004 Lyon cedex, France. cyril.huissoud@chu-lyon.fr
authors.forename: C
authors.initials: C
authors.lastname: Huissoud
authors.forename: J-M
authors.initials: JM
authors.lastname: Robert
authors.forename: N
authors.initials: N
authors.lastname: Bakrin
authors.forename: R-C
authors.initials: RC
authors.lastname: Rudigoz
authors.forename: A
authors.initials: A
authors.lastname: Levrat
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy; D000328:Adult; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005316:Fetal Distress / Q000209:etiology; D006801:Humans; D015228:Hypertriglyceridemia / Q000150:complications* / Q000628:therapy*; D010195:Pancreatitis / Q000150:complications / Q000209:etiology* / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third