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Case Reports
Acute hyperlipidemic pancreatitis accompanied by chylous ascites with normal amylase and lipase in pregnancy.
- Li Yang, Zhiguo Zhao, Kaiming Zhou, and Yuling Zhang.
- Department of Obstetrics and Gynecology, The Second Clinical Medical College of Zhengzhou University, Zhengzhou, China. Electronic address: yyy.3.y@163.com.
- J Clin Lipidol. 2017 Jul 1; 11 (4): 1091-1094.
AbstractNormal serum amylase is uncommon even in acute hypertriglyceridemic pancreatitis (HTGAP). However, normal serum lipase and amylase activity in HTGAP with chylous ascites is exceptionally rare. We report a pregnant woman with HTGAP and chylous ascites that were misdiagnosed. She showed acute abdominal pain and significant systemic inflammatory response, but her serum amylase and lipase levels failed to increase, although ultrasonic imaging finding of the pancreas was normal. Early clinical recognition of chylomicronemia helps clinicians diagnose HTGAP rapidly during pregnancy.Copyright © 2017 National Lipid Association. Published by Elsevier Inc. All rights reserved.
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