초록 열기/닫기 버튼

고중성지방혈증은 췌장염의 드문 원인으로 췌장염의 1~7%를 차지한다. 혈중 중성지방이 1,000 mg/dL보다 높은 경우는 급성 췌장염의 고위험군으로 알려져 있다. 임신 중 급성 췌장염이 발병하는 빈도는 1,000~3,000분만당 한 명꼴로 보고되고 있다. 임신 중 발생한 췌장염에 대한 보고는 국내외적으로 드물고, 더구나 임신 중 고중성지방혈증으로 인해 발생한 급성 췌장염 에 대한 국내보고는 아직까지 없다. 이에 저자들은 고중성지방혈증을 가진 임신 32주의 산모에서 매우 드물게 발병한 급성 췌장염 1예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다.


Hypertriglyceridemia is a rare cause of pancreatits. However the relationship between acute pancreatits and severe hypertrigyceridemia is well recognized. It can be a life- threatening complication if the degree of hypertrigyceridemia is severe enough. A serum triglyceride level of more than 1,000 to 2,000 mg/dL is the identifiable risk factor. The clinical course and management of hypertriglyceridemia induced acute pancreatitis is not different from other causes. The clinical course and management of hypertriglyceridemia induced acute pancreatitis during pregnancy are similar to the one during nonpregnant state. The prevalence of acute pancreatitis in pregnancy ranges between 1 in 1,000 to 1 in 3,000. Gestational hypertrigyceridemic pancreatits can be fatal, and maternal morbidity rate has an upward trend of 20%. We report a 31-year-old woman with coexistence of hypertrigyceridemia and acute pancreatits at 32 weeks gestation with a brief review of the literatures.


Hypertriglyceridemia is a rare cause of pancreatits. However the relationship between acute pancreatits and severe hypertrigyceridemia is well recognized. It can be a life- threatening complication if the degree of hypertrigyceridemia is severe enough. A serum triglyceride level of more than 1,000 to 2,000 mg/dL is the identifiable risk factor. The clinical course and management of hypertriglyceridemia induced acute pancreatitis is not different from other causes. The clinical course and management of hypertriglyceridemia induced acute pancreatitis during pregnancy are similar to the one during nonpregnant state. The prevalence of acute pancreatitis in pregnancy ranges between 1 in 1,000 to 1 in 3,000. Gestational hypertrigyceridemic pancreatits can be fatal, and maternal morbidity rate has an upward trend of 20%. We report a 31-year-old woman with coexistence of hypertrigyceridemia and acute pancreatits at 32 weeks gestation with a brief review of the literatures.