title: Acute pancreatitis owing to very high triglyceride levels treated with insulin and heparin infusion.
abstract: Hypertriglyceridaemia is the third most common cause of acute pancreatitis in the USA. The treatment approach for hypertriglyceridaemia to date has largely been conservative including weight loss, exercise and avoidance of medications that raise triglyceride levels. This approach, however, is not practical in cases of acute pancreatitis due to severely elevated triglycerides. A small number of case reports have been published supporting the treatment of acute pancreatitis due to severely elevated triglyceride levels with insulin and heparin. We report a case of acute pancreatitis in a young woman due to a triglyceride level of 15,215 mg/dl who was successfully treated with insulin and heparin.
authors.affiliation: Department of Internal Medicine, Reading Health System, West Reading, Pennsylvania 19612, USA.
authors.forename: Madan Raj
authors.initials: MR
authors.lastname: Aryal
authors.forename: Naba Raj
authors.initials: NR
authors.lastname: Mainali
authors.forename: Shobhit
authors.initials: S
authors.lastname: Gupta
authors.forename: Manoj
authors.initials: M
authors.lastname: Singla
mesh_terms: D000328:Adult; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D015228:Hypertriglyceridemia / Q000150:complications*; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D010195:Pancreatitis / Q000188:drug therapy* / Q000209:etiology*
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin; D006493:Heparin