임신성 당뇨 임신부에서 발생한고중성지방혈증에 의한 급성 췌장염 1예
A case of acute pancreatitis induced byhypertriglyceridemia in gestational diabetes
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초록
임신과 당뇨는 고중성지방혈증을 유발하여 급성 췌장염을 일으킬 수 있는 위험 인자로 알려져 있으나 임신 중 고중성지방혈증에 의한 급성 췌장염은 매우 드물다. 임신 중 급성췌장염의 발생 빈도는 낮으나 임신부 및 태아에 대한 유병률은 매우 높으므로 조기 진단과 적절한 치료가 중요하다. 임신성 당뇨 임신부에서 고중성지방혈증으로 인한 급성췌장염의 발생, 경과 및 치료는 아직까지 보고된 바가 없다. 이에 저자들은 임신 26주 4일된 임신성 당뇨 초임부에서 고중성지방혈증에 의해 발생한 급성 췌장염 1예를 경험하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Hypertriglyceridemia is a rare cause of pancreatitis in pregnancy. Pregnancy is related with hypertriglyceridemia especially in the 3rd trimester due to increase of estrogen. Diabetes is known as a common cause of secondary lipid metabolism disorder and is often associated with hypertriglyceridemia. Shock and sepsis related to pancreatitis in pregnancy result in a relatively high morbidity and mortality rate for both the mother and the fetus. Hypertriglyceridemic pancreatitis complicated in gestational diabetes has not previously been reported. We report a case of 26+4 weeks gestational aged primigravida with acute pancreatitis induced by hypertriglyceridemia in gestational diabetes. We reviewed the clinical courses and treatments of acute pancreatitis in pregnancy with the literatures.
참고문헌 (18)
- Nanda S, "Acute pancreatitis: a rare cause of acute abdomen in pregnancy", Arch Gynecol Obstet, 279, pp.577~578 (2009)
- Yadav D, "Issues in hyperlipidemic pancreatitis", J Clin Gastroenterol, 36, pp.54~62 (2003)
- Montgomery WH, "Pancreatitis and pregnancy", Obstet Gynecol, 35, pp.658~664 (1970)
- McKay AJ, "Pancreatitis, pregnancy and gallstones", Br J Obstet Gynaecol, 87, pp.47~50 (1980)
- Chang CC, "Acute pancreatitis in pregnancy", Zhonghua Yi Xue Za Zhi (Taipei), 61, pp.85~92 (1998)
- Ewald N, "Severe hypertriglyceridemia and pancreatitis: presentation and management", Curr Opin Lipidol, 20, pp.497~504 (2009)
- Fortson MR, "Clinical assessment of hyperlipidemic pancreatitis", Am J Gastroenterol, 90, pp.2134~2139 (1995)
- Toskes PP, "Hyperlipidemic pancreatitis", Gastroenterol Clin North Am, 19, pp.783~791 (1990)
- Havel RJ, "Pathogenesis, differentiation and management of hypertriglyceridemia", Adv Intern Med, 15, pp.117~154 (1969)
- Kimura W, "Role of hypertriglyceridemia in the pathogenesis of experimental acute pancreatitis in rats", Int J Pancreatol, 20, pp.177~184 (1996)
- Farmer RG, "Hyperlipoproteinemia and pancreatitis", Am J Med, 54, pp.161~165 (1973)
- Swoboda K, "Extracorporeal lipid elimination for treatment of gestational hyperlipidemic pancreatitis", Gastroenterology, 104, pp.1527~1531 (1993)
- Knopp RH, "Lipoprotein metabolism in pregnancy, fat transport to the fetus, and the effects of diabetes", Biol Neonate, 50, pp.297~317 (1986)
- Neill AM, "Active management of acute hyperlipidaemic pancreatitis in pregnancy", J Obstet Gynaecol, 18, pp.174~175 (1998)
- Kayatas SE, "Acute pancreatitis associated with hypertriglyceridemia: a life-threatening complication", Arch Gynecol Obstet, 281, pp.427~429
- Sanderson SL, "Successful hyperlipemic pregnancy", JAMA, 265, pp.1858~1860 (1991)
- Young KR, "Acute pancreatitis in pregnancy: two case reports", Obstet Gynecol, 60, pp.653~657 (1982)
- Lykkesfeldt G, "Excessive hypertriglyceridemia and pancreatitis in pregnancy. Association with deficiency of lipoprotein lipase", Acta Obstet Gynecol Scand, 60, pp.79~82 (1981)