| Hypertriglyceridemia-associated acute pancreatitis with chylous ascites in pregnancy. | |
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MedLine Citation:
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PMID: 16877239 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Both cholesterol and triglyceride levels in serum increase progressively during pregnancy. Hypertriglyceridemia is a well-recognized cause of acute pancreatitis, while pancreatitis-associated chylous ascites has rarely been reported. We report a 28-year-old female with coexistence of hypertriglyceridemia, acute pancreatitis, and chylous ascites during pregnancy. After emergency cesarean section, she was treated with nil per os, intravenous hydration, antibiotics, and analgesics as required. Due to the development of positive peritonitis 5 days later, an exploratory laparotomy was performed. Surgical interventions included pancreatic necrosectomy, right hemicolectomy and ileostomy, cholecystostomy, gastrostomy, and feeding jejunostomy. Postoperative treatment included antibiotics, total parenteral nutrition, and then low-fat diet with medium-chain triglyceride supplementation. She was discharged on the 43rd day after surgery and was free of symptoms during 6 months of follow-up. Ileocolostomy was performed 6 months after discharge. Fasting lipid profile should be regularly monitored during pregnancy due to the association of hypertriglyceridemia with development of acute pancreatitis in the mother. |
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Authors:
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Shih-Chang Chuang; King-Teh Lee; Shen-Nien Wang; Kung-Kai Kuo; Jong-Shyong Chen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Formosan Medical Association = Taiwan yi zhi Volume: 105 ISSN: 0929-6646 ISO Abbreviation: J. Formos. Med. Assoc. Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-07-31 Completed Date: 2006-08-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214933 Medline TA: J Formos Med Assoc Country: China |
Other Details:
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Languages: eng Pagination: 583-7 Citation Subset: IM |
Affiliation:
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Department of Surgery, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Chylous Ascites / etiology*, therapy Female Humans Hypertriglyceridemia / complications* Pancreatitis / etiology*, therapy Pregnancy Pregnancy Complications / etiology*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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