Last issue's Answer: Hypertriglyceridemia-Induced Acute Pancreatitis

摘要

A 36-year-old man presented to the emergency department with a 2-day history of severe abdominal pain, nausea, and vomiting. On physical examination, his abdomen was mildly distended and tender to palpation in the upper quadrants. Laboratory test results revealed a serum lipase level of 1189 U/L (reference range, 15-70 U/L). The patient was admitted to the intensive care unit and was treated with aggressive intravenous hydration, analgesics, and restriction of oral intake. On hospital day 2, he developed respiratory failure that required intubation and hypotension that necessitated vasopressors.