[The 454th case: a 29-week pregnant woman with abdominal pain, hyperlipemia and multiorgan dysfunction]

Zhonghua Nei Ke Za Zhi. 2017 Feb 1;56(2):157-160. doi: 10.3760/cma.j.issn.0578-1426.2017.02.018.
[Article in Chinese]

Abstract

A 32 year-old woman in the third trimester of pregnancy was admitted for severe acute pancreatitis due to hypertriglyceridemia. During hospitalization she developed multiorgan dysfunction, infected pancreatic necrosis, abdominal compartment syndrome and intrauterine fetal death. She was successfully treated by multidisciplinary team including department of emergency medicine, ICU, gastroenterology, obstetrics, endocrinology, ultrasonography, radiology, infectious disease, nutrition and surgery.

一例32岁妊娠晚期患者因高甘油三酯血症诱发重症急性胰腺炎,造成多器官功能衰竭、胰腺坏死感染、腹腔间隔室综合征和胎死宫内。经包括急诊、重症医学、消化、产科、内分泌、超声、放射、感染、营养和外科共计10个专科的多学科协作,患者最终好转。.

Keywords: Hypertriglyceridemia; Multiple organ failure; Pregnancy; Severe acute pancreatitis.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology*
  • Acute Disease
  • Adult
  • Female
  • Fetal Death
  • Humans
  • Hyperlipidemias / diagnosis*
  • Hypertriglyceridemia / complications*
  • Multiple Organ Failure / etiology
  • Pancreatitis / diagnosis*
  • Pancreatitis / etiology
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Pregnancy Trimester, Third