[Acute hyperlipemic pancreatitis (2 cases)].
| Autor: | Beyrouti MI; Service de chirurgie générale, EPS Habib Bourguiba, Sfax, Tunisie., Beyrouti R, Ben Amar M, Dhieb N, Jammoussi K, Louhichi S, Frikha F, Boujelbene S, Ghorbel A |
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| Jazyk: | francouzština |
| Zdroj: | La Tunisie medicale [Tunis Med] 2007 Jul; Vol. 85 (7), pp. 610-3. |
| Abstrakt: | Unlabelled: THE AIM of this work was to study the clinical and therapeutic features of this affection. Case Report: Our retrospective study concerned two cases of hyperlipemic pancreatitis treated during 6 years from 1998 to 2003. The incidence of this affection was 1.42%. Our patients were respectively a man aged 32 years without any significant history and a pregnant woman aged 24 years with a positive history of dyslipidemia. Clinical, biologic and radiological data didn't differ from those of other causes of acute pancreatitis. The hyperlipemic origin was confirmed by a lactescent serum and a rate of triglycerides greater than 10 g/l. The course was characterized by the recurrence of pancreatitis related to the increased triglycerid serum level over 10 g/l. Plasmapheresis and administration of heparin and/or insulin seem to be efficient in reducing the serum level of triglyceride and in improving the course. Hygieno-dietary measures and hypolipemiant treatment were necessary for the level of triglyceirdes in serum below 10 g/l. We in the absence of comolicatons, surgery seemed umnecessry in the two cases. Conclusion: the clinical pattern of acute hyperlipemic pancreatitis doesn't include any specific elements, but its treatment and prevention must take into account the associated hyperlipidemia. |
| Databáze: | MEDLINE |
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