Hypertriglyceridemia-Induced Pancreatitis in Poorly Controlled Type 2 Diabetes

다국어 초록 (Multilingual 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.