Published in:
01-11-2017 | Clinical Practice: Clinical Images
Lipemic Serum in Hypertriglyceridemia-Induced Pancreatitis
Published in: Journal of General Internal Medicine | Issue 11/2017
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A 47-year-old male with hypertension presented with epigastric pain. He did not have gallstones and rarely drank alcohol. Physical examination revealed tachycardia and epigastric tenderness. Abdominal CT scan showed pancreatic stranding. Serum triglycerides were 3568 mg/dl (range 0–150 mg/dl). He was diagnosed with hypertriglyceridemia-induced pancreatitis (HTGP). After 12 h of intravenous insulin at 0.1 units/kg/h, a reduction in triglycerides was visually apparent (Fig. 1).
Figure 1
Unused blood samples showing a gross reduction in lipid volume from admission and after 12 h of IV insulin. After centrifugation, the lipemic layers settle above the gel separator layer
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