A case of hypertriglycideremia-induced pancreatitis in pregnancy: value of heparin

We report the case of a 28-year-old secundipari with a history of severe hypertriglycideremia-induced pancreatitis 3 years ago who was admitted in the 37th week of gestation with abdominal pain. A blood sample had a milky aspect and plasma concentrations were as follows: triglycerides 8,5g/l, choles...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2004-08, Vol.23 (8), p.835-837
Main Authors: Sleth, J C, Lafforgue, E, Servais, R, Saizy, C, Pluskwa, F, Huet, D, Benamran, S, Vérin, C
Format: Article
Language:fre
Subjects:
Acute Disease
Adult
Anesthesia, Obstetrical
Anesthesia, Spinal
Anticoagulants - therapeutic use
Cesarean Section
Cholesterol - blood
Female
Heparin - therapeutic use
Humans
Hypertriglyceridemia - complications
Pancreatitis - etiology
Pregnancy
Pregnancy Complications, Hematologic - drug therapy
Triglycerides - blood
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Summary:We report the case of a 28-year-old secundipari with a history of severe hypertriglycideremia-induced pancreatitis 3 years ago who was admitted in the 37th week of gestation with abdominal pain. A blood sample had a milky aspect and plasma concentrations were as follows: triglycerides 8,5g/l, cholesterol 1000 mg/dl, amylase 574 IU/l, lipase 1310 IU/l. Acute pancreatitis was diagnosed, a caesarean was performed under spinal anaesthesia. The diagnosis was confirmed by CT-scan. Treatment with 15,000 IU heparin per day and intravenous nutrition decreased triglycerides level to less than 1g/l within 48 h. She was discharged 28 days later. Heparin could be a low-cost alternative to plasmapheresis in hypertriglycideremia-induced pancreatitis.
ISSN:0750-7658
DOI:10.1016/j.annfar.2004.06.006