Hipertrigliseridemiye Sekonder Pankreatit: Bir Olgu Sunumu

Year 2020, Volume: 5 Issue: 3, 43 - 47, 01.12.2020

Abdul Karim Arida Omar Khaddam , Sara Alnaher , Ashraf Elghul

Abstract

Akut pankreatit, pankreasın çok yaygın bir enflamatuar durumudur. Akut pankreatit vakalarının çoğuna safra taşları veya alkol neden olur. Bununla birlikte, pankreatitin bir başka yaygın, ancak sıklıkla gözden kaçan nedeni hiperlipidemidir, özellikle hipertrigliseridemidir. Ailesel hiperlipidemi öyküsü olan ve şiddetli akut pankreatit ile başvuran 45 yaşında bir beyefendinin olgusunu sunuyoruz. Sunumda laboratuvar hiperlipidemisinin şiddeti nedeniyle kan örneğini işleyemedi. İntravenöz insülin ile tedaviye başlandıktan sonra laboratuar incelemeleri şiddetli hipertrigliseridemi gösterdi. Bu vakayı takiben hipertrigliseridemiye bağlı akut pankreatit için farklı tedavi modalitelerini tartışacağız.

Keywords

pankreatit, hipertrigliseritmi, ailevi, ensülin, plazmaferez

Pancreatitis Secondary to Hypertriglyceridemia: A Case Report

Abstract

Acute pancreatitis is a very common inflammatory condition of the pancreas. Most cases of acute pancreatitis are caused by either biliary stones or alcohol. However, another common but often under looked cause of pancreatitis is hyperlipidemia, specifically, hypertriglyceridemia. We present the case of a 45 year old gentleman with a history of familial hyperlipidemia who presented with severe acute pancreatitis. On presentation the lab was unable to process his blood sample due to the severity of his hyperlipidemia. After treatment was initiated with intravenous insulin lab investigations showed severe hypertriglyceridemia. We will discuss this case followed by the different treatment modalities for hypertriglyceridemia induced acute pancreatitis.

Keywords

pancreatitis, hypertriglyceridemia, insulin, plasmapheresis, familial

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