A case of hypertriglyceridemia during pregnancy

DOI Web Site
  • MIYAMOTO Seiai
    Department of Obstetrics and Gynecology, National Hospital Organization Osaka Minami Medical Center
  • MIYAMOTO Shunsuke
    Department of Obstetrics and Gynecology, National Hospital Organization Osaka Minami Medical Center
  • FUNAUCHI Yuki
    Department of Obstetrics and Gynecology, National Hospital Organization Osaka Minami Medical Center
  • IWAI Emi
    Department of Obstetrics and Gynecology, National Hospital Organization Osaka Minami Medical Center
  • KANEMURA Masanori
    Department of Obstetrics and Gynecology, National Hospital Organization Osaka Minami Medical Center

Bibliographic Information

Other Title
  • 急性膵炎の発症を回避した高トリグリセリド血症合併妊娠の1例
  • 症例報告 急性膵炎の発症を回避した高トリグリセリド血症合併妊娠の1例
  • ショウレイ ホウコク キュウセイスイエン ノ ハッショウ オ カイヒ シタ コウトリグリセリド ケッショウ ガッペイ ニンシン ノ 1レイ

Search this article

Abstract

<p>Acute pancreatitis during pregnancy is often difficult to distinguish from other diseases, such as premature labor, placental abruption, or appendicitis. Acute pancreatitis is associated with maternal and perinatal mortality and should always be considered in the differential diagnosis. A risk of acute pancreatitis includes cholelithiasis and alcohol, glucose metabolism abnormality , and hyperlipidemia is one of the risk , too. However, standard treatment methods for hyperlipidemia during pregnancy have not yet been established. We herein present a case of severe hypertriglyceridemia and hypothyroidism during pregnancy that was managed without acute pancreatitis. A 31-year-old female (gravida 2, para 1) was diagnosed with severe hypertriglyceridemia and hypothyroidism at 28 weeks of pregnancy. We controlled triglyceride levels using diet modifications and drug therapy designed by a team of experts. The remaining course of the patient’s pregnancy was uneventful, and she delivered vaginally 37 weeks without acute pancreatitis. As her hypertriglyceridemia improved promptly after delivery, we conclude that pregnancy may have been the primary cause of hyperlipidemia. [Adv Obstet Gynecol, 71(2) : 123-127, 2019 (R1.5)]</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top