Journal of the Formosan Medical Association
Volume 105, Issue 7 , Pages 583-587 , 2006

Hypertriglyceridemia-associated Acute Pancreatitis with Chylous Ascites in Pregnancy

  • King-Teh Lee

      Affiliations

    • Division of Hepatobiliary Surgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr King-Teh Lee, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, 100, Tzyou 1st Road, Kaohsiung 807, Taiwan
    • ,
  • Shen-Nien Wang

      Affiliations

    • Division of Hepatobiliary Surgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Kung-Kai Kuo

      Affiliations

    • Division of Hepatobiliary Surgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Jong-Shyong Chen

      Affiliations

    • Division of Hepatobiliary Surgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

Received 22 June 2005 ,Revised 28 July 2005 ,Accepted 13 September 2005.

References 

  1. Ramin KD , Ramin SM , Richey SD , et al.   Acute pancreatitis in pregnancy . Am J Obstet Gynecol . 1995;173:187–191
  2. Jouppila P , Mokka R , Larmi TK . Acute pancreatitis in pregnancy . Surg Gynecol Obstet . 1974;139:879–882
  3. Nies BM , Dreiss RJ . Hyperlipidemic pancreatitis in pregnancy: a case report and review of the literature . Am J Perinatol . 1990;7:166–169
  4. Watts GF , Morton K , Jackson P , et al.   Management of patients with severe hypertriglyceridaemia during pregnancy: report of two cases with familial lipoprotein lipase deficiency . Br J Obstet Gynaecol . 1992;99:163–166
  5. Economides DL , Crook D , Nicolaides KH . Hypertrigly-ceridemia and hypoxemia in small-for-gestational-age fetuses . Am J Obstet Gynecol . 1990;162:382–386 Am J Obstet Gynecol . 1990;162:1363; [Erratum]
  6. Ben-Ami H , Nagachandran P , Assalia A , et al.   Acute transient chylous ascites associated with acute biliary pancreatitis . Am J Med Sci. . 1999;318:122–123
  7. Ranson JH . Etiological and prognostic factors in human acute pancreatitis: a review . Am J Gastroenterol . 1982;77:633–638
  8. Balthazar EJ , Robinson DL , Megibow AJ , et al.   Acute pancreatitis: value of CT in establishing prognosis . Radiology . 1990;174:331–336
  9. Potter JM , Nestel PJ . The hyperlipidemia of pregnancy in normal and complicated pregnancies . Am J Obstet Gynecol . 1979;133:165–170
  10. Ordovas JM , Pocovi M , Grande F . Plasma lipids and cholesterol esterification rate during pregnancy . Obstet Gynecol . 1984;63:20–25
  11. Chiang AN , Yang ML , Hung JH , et al.   Alterations of serum lipid levels and their biological relevances during and after pregnancy . Life Sci. . 1995;56:2367–2375
  12. Havel RJ . Pathogenesis, differentiation and management of hypertriglyceridemia . Adv Intern Med. . 1969;15:117–154
  13. Keilson LM , Vary CP , Sprecher DL , et al.   Hyperlipidemia and pancreatitis during pregnancy in two sisters with a mutation in the lipoprotein lipase gene . Ann Intern Med. . 1996;124:425–428
  14. Weiser AC , Lindgren BW , Ritchey ML , et al.   Chylous as-cites following surgical treatment for Wilms tumor . J Urol . 2003;170:1667–1669
  15. Thompson PA , Halpern NB , Aldrete JS . Acute chylous peritonitis . J Clin Gastroenterol . 1981;3:51–55
  16. Hares MM . Acute chylous peritonitis . J R Coll Surg Edinb . 1982;27:116
  17. Vasko JS , Tapper RI . The surgical significance of chylous ascites . Arch Surg. . 1967;95:355–368
  18. Liu CJ , Yen CL , Chang JJ , et al.   Chylous ascites in acute pancreatitis during pregnancy: case report . Chang Gung Med J . 2001;24:324–328
  19. Loo CC , Tan JY . Decreasing the plasma triglyceride level in hypertriglyceridemia-induced pancreatitis in pregnancy: a case report . Am J Obstet Gynecol . 2002;187:241–242
  20. Lees RS , Holmes NN , Stadler RW , et al.   Treatment of hy-percholesterolemia with heparin-induced extracorporeal low-density lipoprotein precipitation (HELP) . J Clin Apheresis . 1996;11:132–137
  21. Lane DM , McConathy WJ , Laughlin LO , et al.   Biweekly treatment of diet/drug-resistant hypercholesterolemia with the heparin-induced extracorporeal low-density lipoprotein precipitation (HELP) system by selective plasma low-density lipoprotein removal . Atherosclerosis . 1995;114:203–211
  22. Saravanan P , Blumenthal S , Anderson C , et al.   Plasma exchange for dramatic gestational hyperlipidemic pancreatitis . J Clin Gastroenterol . 1996;22:295–298

PII: S0929-6646(09)60154-6

doi: 10.1016/S0929-6646(09)60154-6

Journal of the Formosan Medical Association
Volume 105, Issue 7 , Pages 583-587 , 2006

Article Tools