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Plasmapheresis as a therapeutic approach for hypertriglyceridemia-induced acute pancreatitis.
Rev Bras Ter Intensiva. 2012 Sep; 24(3):302-7.RB

Abstract

Acute pancreatitis is an inflammatory condition that is clinically manifested by abdominal pain and elevated serum levels of pancreatic enzymes. Hypertriglyceridemia is the third most common cause of acute pancreatitis. The present report aimed to describe a case of hypertriglyceridemia-induced acute pancreatitis, where the therapeutic approach was plasmapheresis. A 48-year-old female patient was admitted to the hospital with complaints of "severe abdominal pain". She reported the onset of such symptoms as nausea, vomiting and abdominal pain with a burning feeling in the epigastric area. The patient denied having a fever. The initial examination revealed that she was obese, oriented, tachypneic, normotensive, tachycardic, dehydrated, afebrile, anicteric and acyanotic and had normal color. Her abdomen was distended with bowel sounds, tympanic and diffusely painful, which was mostly in the supramesocolic compartment. The initial laboratory exams showed 10.932 mg/dL triglycerides, 1.548 mg/dL cholesterol, 226 mg/dL amylase and 899 mg/dL lipase. The abdominal computed tomography exhibited increased pancreatic volume (Balthazar E). The patient's condition worsened, and she was sent to the intensive care center. Plasmapheresis was performed with no complications. On the 14th day after admission, the patient was discharged from the intensive care center and was sent to the gastroenterology ward, where an oral diet was resumed with good acceptance. The patient progressed well and was discharged from the hospital on the 25th day after admission. High triglyceride levels are necessary to cause pancreatitis, and it is important to exclude the most common causes. Importantly, the therapeutic approach reduced the high hypertriglyceridemia quickly, thereby avoiding tissue damage.

Authors

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Pub Type(s)

Journal Article

Language

eng por

PubMed ID

23917833

Citation

Castro, Felipe Soares Castelliano Lucena de, et al. "Plasmapheresis as a Therapeutic Approach for Hypertriglyceridemia-induced Acute Pancreatitis." Revista Brasileira De Terapia Intensiva, vol. 24, no. 3, 2012, pp. 302-7.
Castro FS, Nascimento AM, Coutinho IA, et al. Plasmapheresis as a therapeutic approach for hypertriglyceridemia-induced acute pancreatitis. Rev Bras Ter Intensiva. 2012;24(3):302-7.
Castro, F. S., Nascimento, A. M., Coutinho, I. A., Alcazar, F. R., & Mugayar Filho, J. (2012). Plasmapheresis as a therapeutic approach for hypertriglyceridemia-induced acute pancreatitis. Revista Brasileira De Terapia Intensiva, 24(3), 302-7.
Castro FS, et al. Plasmapheresis as a Therapeutic Approach for Hypertriglyceridemia-induced Acute Pancreatitis. Rev Bras Ter Intensiva. 2012;24(3):302-7. PubMed PMID: 23917833.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Plasmapheresis as a therapeutic approach for hypertriglyceridemia-induced acute pancreatitis. AU - Castro,Felipe Soares Castelliano Lucena de, AU - Nascimento,Ana Maria Reis, AU - Coutinho,Igor Amorim, AU - Alcazar,Fernanda Ribeiro de Fernandez Y, AU - Mugayar Filho,Jorge, PY - 2012/01/27/received PY - 2012/06/21/accepted PY - 2013/8/7/entrez PY - 2013/8/7/pubmed PY - 2013/8/7/medline SP - 302 EP - 7 JF - Revista Brasileira de terapia intensiva JO - Rev Bras Ter Intensiva VL - 24 IS - 3 N2 - Acute pancreatitis is an inflammatory condition that is clinically manifested by abdominal pain and elevated serum levels of pancreatic enzymes. Hypertriglyceridemia is the third most common cause of acute pancreatitis. The present report aimed to describe a case of hypertriglyceridemia-induced acute pancreatitis, where the therapeutic approach was plasmapheresis. A 48-year-old female patient was admitted to the hospital with complaints of "severe abdominal pain". She reported the onset of such symptoms as nausea, vomiting and abdominal pain with a burning feeling in the epigastric area. The patient denied having a fever. The initial examination revealed that she was obese, oriented, tachypneic, normotensive, tachycardic, dehydrated, afebrile, anicteric and acyanotic and had normal color. Her abdomen was distended with bowel sounds, tympanic and diffusely painful, which was mostly in the supramesocolic compartment. The initial laboratory exams showed 10.932 mg/dL triglycerides, 1.548 mg/dL cholesterol, 226 mg/dL amylase and 899 mg/dL lipase. The abdominal computed tomography exhibited increased pancreatic volume (Balthazar E). The patient's condition worsened, and she was sent to the intensive care center. Plasmapheresis was performed with no complications. On the 14th day after admission, the patient was discharged from the intensive care center and was sent to the gastroenterology ward, where an oral diet was resumed with good acceptance. The patient progressed well and was discharged from the hospital on the 25th day after admission. High triglyceride levels are necessary to cause pancreatitis, and it is important to exclude the most common causes. Importantly, the therapeutic approach reduced the high hypertriglyceridemia quickly, thereby avoiding tissue damage. SN - 1982-4335 UR - https://www.unboundmedicine.com/medline/citation/23917833/Plasmapheresis_as_a_therapeutic_approach_for_hypertriglyceridemia_induced_acute_pancreatitis_ DB - PRIME DP - Unbound Medicine ER -
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