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증례 : 소화기 ; 임신 중 발생한 고중성지방혈증에 의한 급성 췌장염 1예
강지영 ( Ji Young Kang ),최관용 ( Guan Yong Choi ),정희석 ( Hee Seog Jeong ),이달식 ( Dal Sic Lee ),주혜진 ( Hye Jin Joo ),배일헌 ( Il Hun Bae ),박선미 ( Seon Mee Park ) 대한내과학회 2009 대한내과학회지 Vol.77 No.1
고지혈증과 급성 췌장염이 있었던 임산부에서 임신과 비만으로 유발된 제V형 고지혈증에 의한 급성 췌장염을 경험하였기에 문헌고찰과 함께 보고한다. Hypertriglyceridemia-induced pancreatitis is a rare, but serious, complication of pregnancy. We report a case of acute pancreatitis associated with type V hyperlipoproteinemia in pregnancy. A 36-year-old primigravida was admitted at 16 weeks of gestation with severe abdominal pain. Chemical analysis showed high serum pancreatic enzymes and very high serum triglyceride. Abdominal magnetic resonance imaging (MRI) showed diffuse swelling of the pancreas and a peripancreatic fluid collection. A diagnosis of acute pancreatitis with type V hyperlipoproteinemia was made. She recovered from the acute pancreatitis with conservative management and the serum triglyceride decreased rapidly with dietary restriction of fat, insulin/glucose, fenofibrate, and omega-3. We review the management of hypertriglyceridemia-induced acute pancreatitis in pregnancy. (Korean J Med 77:104-108, 2009)