Introduction: Severe hypertriglyceridemia during pregnancy is a rare yet potentially life-threatening disorder. It is frequently linked to acute pancreatitis and poses considerable risks for both maternal and fetal morbidity. Case: We report a 35-year-old G4P3 female at 33 + 6 weeks gestation with underlying type 2 diabetes mellitus who presented with acute abdominal pain, nausea, vomiting, and poor oral intake, initially mistaken for preterm labor and sepsis. Further evaluation revealed profound hypertriglyceridemia (triglycerides 79.1 mmol/L) with markedly elevated total cholesterol (>32 mmol/L) and raised serum amylase, consistent with hypertriglyceridemia-induced acute pancreatitis. She was managed in a multidisciplinary setting with intravenous insulin infusion, dextrose supplementation, aggressive fluid resuscitation, and empiric antibiotics. Due to clinical deterioration and ongoing risk of maternal complications, she underwent emergency lower segment caesarean section and exploratory laparotomy at 34 weeks of gestation. Intraoperative findings included inflammatory intra-abdominal fluid and a bulky pancreas, supporting the diagnosis. Rapid biochemical improvement was observed following treatment, with triglyceride levels decreasing by approximately 70% within 24 hours (79.1– 24.0 mmol/L) and achieving >90% reduction over 10 days. Postpartum management included initiation of omega-3 fatty acids, fibrate, and statin therapy, resulting in sustained lipid control. Ophthalmologic examination demonstrated lipemia retinalis, further confirming severe dyslipidemia. Conclusion This case highlights the importance of early recognition of severe hypertriglyceridemia in pregnancy, particularly in patients with metabolic risk factors such as diabetes. Prompt initiation of insulin therapy can achieve rapid triglyceride reduction and may obviate the need for plasmapheresis in selected cases. Delivery should be considered in the setting of maternal instability. Long-term lipid management postpartum is essential for preventing recurrence and reducing future metabolic risk. A multidisciplinary approach remains critical in optimizing both maternal and fetal outcomes in this rare but serious condition.
Female ; Pregnancy ; Acute Disease ; Pancreatitis

Introduction: This is a validation study of the modified version of the Food Choice Questionnaire (FCQ), a multidimensional measure of food choice motives. Methods: Adolescents aged 15 to 17 years attending schools from three randomly selected co-educational and multiracial public secondary schools were invited to participate in this study. Data were collected using a sell-administered modified version of the FCQ consisting of 58 items assessing 13 factors including health, mood, convenience, sensory appeal, natural content, price, weight control, familiarity, ethical concern, religion, parents, peers and media. Factor analysis with the extraction of a maximum likelihood and varimax rotation were performed to validate the FCQ. Results: A total of 306 students comprising 64.7% Malay, 19.3% Chinese and 16.0% Indian with a mean age of 16.1±0.3 years participated in this study. Based on their BMI status, a majority (71.9%) of the participants had normal weight, 8.2% were thin, 1.6% severely thin while 12.1% were overweight and 6.2% obese. Six factors (health and nutrition knowledge, price and convenience, media, mood and sensory appeal, peers, and parents), consisting of 36 items and explaining 45.9% of the variance, remained from the factor analysis. The reliability of the FCQ factors was good, with Cronbach's a coefficient values as follows: health and nutrition knowledge=0.84, price and convenience=0.82, media=0.89, mood and sensory appeal=0.79, peers=0.84, and parents=0.75. Conclusion: This modified version of the FCQ validated among Malaysian adolescents is recommended for future research determining food choice motives of adolescents.