{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:40:17Z","timestamp":1756294817746,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,9,18]]},"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Recurrent acute pancreatitis poses a significant challenge in clinical management. In this case, a young, obese woman with metabolic syndrome presented with her third episode of acute pancreatitis within a span of 4\u2009months. Due to unavailability, plasmapheresis could not be performed, and the patient was managed solely with pharmacological therapy. Initial evaluation revealed abdominal pain, tenderness and elevated laboratory markers. CT scan findings indicated pancreatic and peripancreatic oedema. Further investigations highlighted the presence of hypertriglyceridaemia and hypocalcaemia. As the patient was using oral contraceptive pills (OCP), it was crucial to consider their potential role in causing hypertriglyceridaemia. Consequently, the patient was advised to discontinue OCP use. Despite the lack of plasmapheresis, intensive medical management, including medication and lifestyle modifications, showed positive results. This case underscores the importance of recognising the association between OCP, hypertriglyceridaemia and recurrent pancreatitis in patients with metabolic syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2023-257067","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T11:55:45Z","timestamp":1696506945000},"page":"e257067","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["OCP-driven hypertriglyceridaemia and recurrent acute pancreatitis"],"prefix":"10.1136","volume":"16","author":[{"given":"Samriddha","family":"Thapa","sequence":"first","affiliation":[{"name":"Internal Medicine, Lower Bucks Hospital, Bristol, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhil","family":"Allakky","sequence":"additional","affiliation":[{"name":"Internal Medicine, Lower Bucks Hospital, Bristol, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0200-2886","authenticated-orcid":false,"given":"Anjani","family":"Turaga","sequence":"additional","affiliation":[{"name":"Surgery, Gandhi Medical College, Secunderabad-Padmarao Nagar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"2025082704011425000_16.10.e257067.1","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1007\/s10620-017-4510-5","article-title":"Epidemiology of recurrent acute and chronic pancreatitis: similarities and differences","volume":"62","author":"Machicado","year":"2017","journal-title":"Dig Dis Sci"},{"key":"2025082704011425000_16.10.e257067.2","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0b013e328349e2f8"},{"key":"2025082704011425000_16.10.e257067.3","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcg.0000436438.60145.5a"},{"key":"2025082704011425000_16.10.e257067.4","doi-asserted-by":"publisher","DOI":"10.1242\/dmm.001180"},{"key":"2025082704011425000_16.10.e257067.5","doi-asserted-by":"crossref","first-page":"485","DOI":"10.5468\/ogs.2017.60.5.485","article-title":"Estrogen-induced acute pancreatitis: a case report and literature review","volume":"60","author":"Seo","year":"2017","journal-title":"Obstet Gynecol Sci"},{"key":"2025082704011425000_16.10.e257067.6","unstructured":"Sarkisyan D . OCP triggered hypertriglyceridemia: an uncommon cause of pancreatitis. 2022;26. Available: https:\/\/proceedings.med.ucla.edu\/index.php\/2022\/09\/29\/ocp-triggered-hypertriglyceridemia-an-uncommon-cause-of-pancreatitis\/"},{"key":"2025082704011425000_16.10.e257067.7","doi-asserted-by":"publisher","DOI":"10.1177\/0885066614528083"},{"key":"2025082704011425000_16.10.e257067.8","doi-asserted-by":"crossref","first-page":"947","DOI":"10.3923\/pjbs.2012.947.950","article-title":"Lipid profile of women using oral contraceptive pills","volume":"15","author":"Naz","year":"2012","journal-title":"Pak J Biol Sci"},{"key":"2025082704011425000_16.10.e257067.9","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1080\/09513590.2018.1473365","article-title":"Acute pancreatitis secondary to oral contraceptive-induced hypertriglyceridemia: a case report","volume":"34","author":"Stumpf","year":"2018","journal-title":"Gynecol Endocrinol"},{"key":"2025082704011425000_16.10.e257067.10","doi-asserted-by":"publisher","DOI":"10.1007\/s12328-018-0881-1"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-257067","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:01:23Z","timestamp":1756292483000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-257067"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,5]]},"published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1136\/bcr-2023-257067"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-257067","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}