{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T03:15:12Z","timestamp":1785467712979,"version":"3.56.0"},"reference-count":19,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"03","license":[{"start":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T00:00:00Z","timestamp":1613606400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute pancreatitis is a rare condition in pregnancy, associated with a high mortality rate. Hypertriglyceridemia represents its second most common cause. We present the case of a 38-year-old woman in the 24th week of gestation with a history of hypertriglyceridemia and recurrent episodes of pancreatitis. She was admitted to our hospital with acute pancreatitis due to severe hypertriglyceridemia. She was stabilized and treated with fibrates. Despite her favorable clinical course, she developed a second episode of acute pancreatitis complicated by multi-organ dysfunction and pancreatic necrosis, requiring a necrosectomy. The pregnancy was ended by cesarean section, after which three plasmapheresis sessions were performed. She is currently asymptomatic with stable triglyceride levels. Acute pancreatitis due to hypertriglyceridemia represents a diagnostic and therapeutic challenge in pregnant women, associated with serious maternal and fetal complications. When primary hypertriglyceridemia is suspected, such as familial chylomicronemia syndrome, the most important objective is preventing the onset of pancreatitis.<\/jats:p>","DOI":"10.1055\/s-0040-1722173","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:24:33Z","timestamp":1613694273000},"page":"220-224","source":"Crossref","is-referenced-by-count":9,"title":["Familial Chylomicronemia Syndrome-Induced Acute Necrotizing Pancreatitis during Pregnancy"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4916-8205","authenticated-orcid":false,"given":"Julia Cristina","family":"Coronado Arroyo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9719-1875","authenticated-orcid":false,"given":"Marcio Jos\u00e9","family":"Concepci\u00f3n Zavaleta","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3500-5947","authenticated-orcid":false,"given":"Eilhart Jorge","family":"Garc\u00eda Villasante","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Hospital Nacional Daniel Alcides Carrion, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4891-0359","authenticated-orcid":false,"given":"Mikaela","family":"Kcomt Lam","sequence":"additional","affiliation":[{"name":"Department of Medicine, Universidad Privada Antenor Orrego, Trujillo, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0462-3101","authenticated-orcid":false,"given":"Luis Alberto","family":"Concepci\u00f3n Urteaga","sequence":"additional","affiliation":[{"name":"Department of Pulmonology, Hospital Regional Docente de Trujillo, Universidad Nacional de Trujillo, Trujillo, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5497-3735","authenticated-orcid":false,"given":"Francisca Elena","family":"Zavaleta Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Hospital Belen de Trujillo, Universidad Privada Antenor Orrego, Trujillo, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,2,18]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s11596-013-1125-8","article-title":"Thirty-eight cases of acute pancreatitis in pregnancy: a 6-year single center retrospective analysis","volume":"33","author":"D L Zhang","year":"2013","journal-title":"J Huazhong Univ Sci Technolog Med 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