A CASE OF CHRONIC PANCREATITIS ACCOMPANIED BY HYPERLIPIDEMIA

DOI
  • ASAKAWA Yoshio
    Second Department of Internal Medicine Showa University School of Medicine
  • HIROISHI Kazumasa
    Second Department of Internal Medicine Showa University School of Medicine
  • FUNATOMI Hitoshi
    Second Department of Internal Medicine Showa University School of Medicine
  • HATTA Yoshio
    Second Department of Internal Medicine Showa University School of Medicine
  • SAKAMOTO Osamu
    Department of Gastroenterology, Ohta-atami Hospital
  • TAKEUCHI Haruo
    Department of Internal Medicine, Sagamino Hospital

Bibliographic Information

Other Title
  • 高脂血症を合併し膵炎発作を繰り返した慢性膵炎の一例

Search this article

Abstract

A case of chronic pancreatitis accompanied by hyperlipidemia is reported. A 56-year-old male patient complaining of pain in the epigastrium and left hypochondrium was admitted to our hospital. His alcohol abuse had been moderate for about 35 years. He had previously experienced the same episodes and been diagnosed as having hyperlipidemia. The elevation of pancreatic enzyme levels in serum and urine, and hyperlipidemia were observed at his admission. The lipoprotein analysis revealed predominant increases of chylomicron and pre-β lipoprotein, a condition that was compatible with Fredrickson type V hyperlipidemia. The diagnosis of ERCP was chronic pancreatitis group II. Increase of dietary fat intake during admission provoked hyperlipidemia and the attack of pancreatitis recurred. These facts suggested that the hyperlipidemia may have been important in the development of chronic pancreatitis in this case, although the influence of alcohol abuse could not be neglected.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top