Ketoacidosis with Hypertriglyceridemia-Induced Pancreatitis in a Patient with Gestational Diabetes: A Case Report.
- Author:
Hyun Hee CHUNG
1
;
Sang Hyun PARK
;
Ji Sung YOON
;
Kyu Chang WON
;
Hyoung Woo LEE
Author Information
- Publication Type:Case Report
- Keywords: Acute pancreatitis; Gestational diabetes; Hypertriglyceridemia
- MeSH: Adult; Blood Glucose; Deceleration; Diabetes, Gestational; Female; Humans; Hypertriglyceridemia; Insulin; Ketosis; Nausea; Pancreatitis; Pregnancy; Vomiting
- From:Endocrinology and Metabolism 2012;27(1):89-92
- CountryRepublic of Korea
- Language:English
- Abstract: Hypertriglyceridemia-induced acute pancreatitis in pregnancy is not a common complication. Moreover, ketoacidosis in gestational diabetes occurs rarely. Here we report a case of ketoacidosis with hypertriglyceridemia-induced pancreatitis in a patient with gestational diabetes that was successfully treated with insulin and supportive care. In this case, a 36-year-old woman (at 32 weeks' gestation) was diagnosed with gestational diabetes 4 weeks prior, but did not have well controlled blood sugar. She complained of severe epigastric pain concomitant with nausea and vomiting. Radiology and laboratory tests found hypertriglyceridemia (1,996 mg/dL), acute pancreatitis, and ketoacidosis with absence of fetal deceleration on a non-stress test. The patient's condition improved with insulin therapy and fluid replacement. To our knowledge, this is the first report of a case of ketoacidosis with hypertriglyceridemia-induced pancreatitis in a patient with gestational diabetes.
