Extreme Pregnancy-Induced Hypertriglyceridemia Resulting in Pancreatitis: A Case Report

05 February 2025 : Case report USA

Unusual clinical course, Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis)

Stephanie Matsuura^{EF 1*}, Reema Ghatnekar^{ABCDEF 2}, Kelly Yamasato^{ABCDEFG 1}

DOI: 10.12659/AJCR.946974

Am J Case Rep 2025; 26:e946974

Introduction Case Report Discussion Conclusions References:

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Table 1. Obstetrical history of pancreatitis and triglyceride levels.

Pregnancy number	Antepartum events	Triglycerides at initial pancreatitis diagnosis (mg/dL)*	Gestational age at delivery	Birthweight (g)
1	Pancreatitis at 38 and 39 weeks	576	Induction of labor at 39 weeks	3569
2	Pancreatitis at 31 weeks	4520	Induction of labor at 37 weeks	2991
3	Twin pregnancy no pancreatitis	N/A	Induction of labor at 38 weeks	A: 2622B: 3388
Nonpregnant – Triglycerides 280 mg/dL (not on therapy)
4	Twin pregnancy pancreatitis at 20, 29, and 37 weeks	3448	Induction of labor at 37 weeks	A: 2617B: 2863
5	Pancreatitis at 32 weeks	3672	Induction of labor at 37 weeks	3504
6	No pancreatitis spontaneous abortion at 14 weeks	460 (6 weeks gestation)	N/A	N/A
Nonpregnant – Triglycerides 238 mg/dL (not on therapy)
7Current pregnancy	Pancreatitis at 37 weeks	6280	Induction of labor at 37 weeks	3617
^* Triglyceride reference range: borderline-high triglyceride levels – 150–199 mg/dL; high – 200–499 mg/dL; very high – ≥500 mg/dL.

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