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April 13, 2023QJMOpen Access

Following subcutaneous insulin, fluid, and analgesics administration, the patient's symptoms resolved completely.

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Population

A 31-year-old male with alcohol use disorder and hyperglycemia presenting with severe left upper quadrant pain

Design

Case report

Authors

TGT. GOTOKIKosuke IshizukaYKYukihiro Kitai

Discussion

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Member takes

Overview

May support suspecting hypertriglyceridemia-induced pancreatitis despite normal amylase; leaves open need for prospective validation.

Structured PICO

P
Population
31-year-old male with a history of alcohol use disorder and hyperglycemia presenting with severe left upper quadrant abdominal pain
I
Intervention
Subcutaneous insulin, fluid, and analgesics
O
Outcome
Symptom resolution

Hypertriglyceridemia-induced pancreatitis should be suspected in patients with acute pancreatitis and risk factors for hypertriglyceridemia, even with normal serum amylase levels.

Cite This Study

GOTO et al. (2023) studied this question.

synapsesocial.com/papers/6a81eabe5fe02a08f3d8376dhttps://doi.org/10.1093/qjmed/hcad063
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hypertriglyceridemia-Induced Acute Pancreatitis2017 · 8 citations
  2. 2Hypertriglyceridemia causes more severe course of acute pancreatitis2012 · 26 citations
  3. 3Moderate Hypertriglyceridemia Causing Recurrent Pancreatitis: A Case Report and the Literature Review2018 · 6 citations
  4. 4Hypertriglyceridemia-Induced Pancreatitis With Rapid Response to Insulin Therapy2020 · 5 citations
  5. 5Acute pancreatitis associated with severe hypertriglyceridaemia; A retrospective cohort study2015 · 47 citations