Acute non-stone pancreatitis due to hypertriglyceridemia. A case report

Abstract

Introduction: Pancreatitis is an inflammation of the exocrine pancreas, produced by existing damage to the acinar cells. In Latin America, through a multicenter study carried out by Valdivieso, et al., it was determined that the epidemiology establishes an average of 15.5 cases per 100,000 inhabitants, pancreatitis can be classified as acute and chronic and according to its etiology in lithiasic and non-lithiasic, the most frequent non-lithiasic being alcoholic, and followed by others such as hypertriglyceridemia.

Clinical Case: A 40-year-old male patient, refers pain in the epigastrium of insidious onset, radiating to the left hypochondrium and that did not subside with the use of common analgesics, 24 hours before admission, family members reported that the patient had difficulty articulating words and drowsiness accompanied by nausea and vomiting, he denies fever, and other accompanying symptoms, so he is brought to the service for better diagnosis and treatment. The patient was admitted to the service with a clinical picture of a mixed ketotic-osmolar state at the onset of Diabetes Mellitus in an unknown diabetic patient who required admission to the intensive care unit where he was in a coma for 15 days, during which initiation of drugs such as insulin, low molecular weight heparin, in addition to hydration and parenteral nutrition, after being discharged he went to a general care service where he was observed and monitored for 3 days and due to his good clinical and laboratory evolution his discharge is decided with an indication of control by an outpatient clinic.