Hypertriglyceridemia-Induced Pancreatitis in Poorly Controlled Type 2 Diabetes.
- Author:
Hyun Ho JO
1
;
Kyu Jin KIM
;
Bo Yeon KIM
;
Chan Hee JUNG
;
Chul Hee KIM
;
Sung Koo KANG
;
Ji Oh MOK
Author Information
1. Division of Endocrinology & Metabolism, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. hanna@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Hypertriglyceridemia;
Diabetes mellitus, type 2
- MeSH:
Abdominal Pain;
Acidosis;
Adult;
Amylases;
Blood Glucose;
Diabetes Mellitus, Type 2;
Diagnosis;
Female;
Humans;
Hyperglycemia;
Hypertriglyceridemia;
Insulin;
Lipase;
Pancreas;
Pancreatitis*;
Triglycerides
- From:Soonchunhyang Medical Science
2014;20(2):120-122
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 38-year-old female presented with abdominal pain, radiating to her back. Her medical history included type 2 diabetes, which had been uncontrolled for 8 months. Her initial laboratory tests showed marked hyperglycemia, metabolic acidosis, and elevated serum amylase and lipase levels, although the results were inconclusive in terms of a direct diagnosis of acute pancreatitis (AP). Abdominal computed tomography showed only minimal fluid collection at the pancreas tail. As her serum triglyceride (TG) level was 9,884 mg/dL, we made a working diagnosis of AP due to hypertriglyceridemia, and she was treated with massive hydration with an insulin infusion. Subsequently, she recovered rapidly from the abdominal pain, her serum glucose was controlled, and her serum TG decreased. Hypertriglyceridemia is a well-accepted underlying cause of AP. When extremely high hypertriglyceridemia is detected in patients with type 2 diabetes or metabolic syndrome, complications should be considered and managed.
