Successful management of a pregnancy women with sudden onset of acute pancreatitis: A case report and literature review

作者：Yu Huang, Chih-Yi Yang · 发表于：Taiwanese Journal of Obstetrics and Gynecology · 年份：2025 · DOI：10.1016/j.tjog.2025.01.003 · 被引用次数：1 · 研究领域：Pancreatitis Pathology and Treatment、Lipid metabolism and disorders、Dermatological and COVID-19 studies

OBJECTIVE: Hypertriglyceridemia (HTG) is a rare cause of acute pancreatitis (AP) in pregnancies and has emerged as an aggravating factor of severe pancreatitis. To enhance the diagnosis and management of HTG-induced AP during pregnancy by improving early recognition, optimizing treatment strategies, and minimizing maternal and fetal complications. CASE REPORT: This is a 29-year-old multigravida woman at a gestational age of 34 weeks and 2 days who presented with sudden abdominal pain and vomiting. She had severe hypertriglyceridemia (7855 mg/dL) and was diagnosed with acute pancreatitis. After an emergency cesarean section, the patient received aggressive hydration, as well as fenofibrate and gemfibrozil as lipid-lowering agents, along with other supportive care. This treatment led to a successful recovery. CONCLUSION: The management of HTG-induced AP must consider both maternal and fetal health, with options such as lipid-lowering agents and plasmapheresis being explored, further research was required to ascertain their safety during pregnancy.