In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review
Acute pancreatitis is one of the severe complications of hypertriglyceridemia, which needs to be recognized early to provide appropriate treatment. Hypertriglyceridemia-induced pancreatitis has several causes, in which in vitro fertilization (IVF) is a rare etiology that is becoming increasingly pop...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-10-01
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| Series: | Turkish Journal of Emergency Medicine |
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| Online Access: | https://journals.lww.com/10.4103/tjem.tjem_27_24 |
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| _version_ | 1850193159470972928 |
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| author | Nguyen Huu Thanh Trinh Van Duong Nguyen Thu Huyen Pham Dang Hai |
| author_facet | Nguyen Huu Thanh Trinh Van Duong Nguyen Thu Huyen Pham Dang Hai |
| author_sort | Nguyen Huu Thanh |
| collection | DOAJ |
| description | Acute pancreatitis is one of the severe complications of hypertriglyceridemia, which needs to be recognized early to provide appropriate treatment. Hypertriglyceridemia-induced pancreatitis has several causes, in which in vitro fertilization (IVF) is a rare etiology that is becoming increasingly popular. We report a 33-year-old female patient with a history of hypertension who has failed an IVF cycle and started a new IVF procedure 1 month before admission. She was diagnosed with severe triglyceridemia-induced acute pancreatitis with extremely high serum triglycerides (TGs) levels (18,547 mg/dL). We combined plasmapheresis and intravenous (IV) insulin and significantly reduced blood TG over a short time. She was discharged with a TG level of 366.7 mg/dL on the 10th day. It is essential to monitor serum TG levels in plasma before, during, and after this therapy, especially in the 1st month after initiating IVF. Although plasmapheresis combined with IV insulin is not officially recommended for acute triglyceridemia-induced pancreatitis, the therapy can be considered in cases with extremely high serum TG levels. |
| format | Article |
| id | doaj-art-e13d25748fe1438590898d609718b508 |
| institution | OA Journals |
| issn | 2452-2473 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Emergency Medicine |
| spelling | doaj-art-e13d25748fe1438590898d609718b5082025-08-20T02:14:20ZengWolters Kluwer Medknow PublicationsTurkish Journal of Emergency Medicine2452-24732024-10-0124425525810.4103/tjem.tjem_27_24In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature reviewNguyen Huu ThanhTrinh Van DuongNguyen Thu HuyenPham Dang HaiAcute pancreatitis is one of the severe complications of hypertriglyceridemia, which needs to be recognized early to provide appropriate treatment. Hypertriglyceridemia-induced pancreatitis has several causes, in which in vitro fertilization (IVF) is a rare etiology that is becoming increasingly popular. We report a 33-year-old female patient with a history of hypertension who has failed an IVF cycle and started a new IVF procedure 1 month before admission. She was diagnosed with severe triglyceridemia-induced acute pancreatitis with extremely high serum triglycerides (TGs) levels (18,547 mg/dL). We combined plasmapheresis and intravenous (IV) insulin and significantly reduced blood TG over a short time. She was discharged with a TG level of 366.7 mg/dL on the 10th day. It is essential to monitor serum TG levels in plasma before, during, and after this therapy, especially in the 1st month after initiating IVF. Although plasmapheresis combined with IV insulin is not officially recommended for acute triglyceridemia-induced pancreatitis, the therapy can be considered in cases with extremely high serum TG levels.https://journals.lww.com/10.4103/tjem.tjem_27_24acute pancreatitisestrogenhypertriglyceridein vitro fertilization |
| spellingShingle | Nguyen Huu Thanh Trinh Van Duong Nguyen Thu Huyen Pham Dang Hai In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review Turkish Journal of Emergency Medicine acute pancreatitis estrogen hypertriglyceride in vitro fertilization |
| title | In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review |
| title_full | In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review |
| title_fullStr | In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review |
| title_full_unstemmed | In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review |
| title_short | In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review |
| title_sort | in vitro fertilization induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department a case report and literature review |
| topic | acute pancreatitis estrogen hypertriglyceride in vitro fertilization |
| url | https://journals.lww.com/10.4103/tjem.tjem_27_24 |
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