Hypertriglyceridemia induced acute pancreatitis and efficacy of therapeutic plasma exchange

Authors

  • Ehteshamul Hakim Senior RMO Asgar Ali Hospital
  • Motiul Islam Coordinator & Consultant Critical Care Medicine, Asgar Ali Hospital
  • Tarikul Hamid Consultant, Critical Care Medicine, Asgar Ali Hospital
  • Mohammad Rabiul Halim Consultant, Critical Care Medicine, Asgar Ali Hospital
  • Kazi Nuruddin Ahmed Associate Consultant, Critical Care Medicine , Asgar Ali Hospital
  • Rajib Hassan Junior Consultant, Critical Care Medicine, Asgar Ali Hospital
  • Rahatul Jannat Nishat Assistant Professor, Physiology, Asgar Ali Medical College.
  • Hafizur Rahman Specialist, Critical Care Medicine , Asgar Ali Hospital
  • Md Atikuzzaman Senior Clinical Staff,Critical Care Medicine, Asgar Ali Hospital
  • Momtazur Rayhan Shumit Clinical Staff Critical Care Medicine, Asgar Ali Hospital

DOI:

https://doi.org/10.3329/bccj.v12i1.72403

Keywords:

Lipid Profile, Pancreatitis, Plasmapheresis, Triglyceride, Mortality

Abstract

Acute pancreatitis is a condition in which the pancreas becomes inflamed suddenly within a short period of time. Typically, this condition lasts less than 6 weeks, with most cases resolving within 1-2 weeks. The major causes of acute pancreatitis are ethanol, gallstones, and hypertriglyceridemia. Acute pancreatitis that is caused by hypertriglyceridemia can be severe and life-threatening. Compared to other causes of pancreatitis, studies have shown that the acute pancreatitis induced by hypertriglyceridemia is more serious and can lead to recurrent episodes of pancreatitis, eventually leading to chronic pancreatitis. Here, we report a clinical experience with a patient of high triglyceride induced pancreatitis. He was treated with two sessions of Therapeutic Plasma exchange along with intravenous insulin, statins, and fibrates. In recent times, plasmapheresis has been used to treat severe cases of hypertriglyceridemia-induced acute pancreatitis with success. Early initiation, along with appropriate supportive measures, may lead to favourable outcomes and reduce the risk of complications. However, further research is needed to determine the exact role and timing of plasmapheresis in managing acute pancreatitis caused by hypertriglyceridemia.

Bangladesh Crit Care J March 2024; 12 (1): 58-61

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Published

2024-04-04

How to Cite

Ehteshamul Hakim, Motiul Islam, Tarikul Hamid, Mohammad Rabiul Halim, Kazi Nuruddin Ahmed, Rajib Hassan, Rahatul Jannat Nishat, Hafizur Rahman, Md Atikuzzaman, & Momtazur Rayhan Shumit. (2024). Hypertriglyceridemia induced acute pancreatitis and efficacy of therapeutic plasma exchange. Bangladesh Critical Care Journal, 12(1), 58–61. https://doi.org/10.3329/bccj.v12i1.72403

Issue

Vol. 12 No. 1 (2024)

Section

Case Reports

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