Abstract
BackgroundA 37 year-old man presented to the emergency department complaining of six hour diffuse abdominal pain accompanied by persistent vomiting.Case reportThe patient had a heavy meal a few hours before. There were no signs of peritonitis. Routine laboratory examinations revealed leukocytosis, hyperglycemia and hyperamylasemia (serum amylase: 380 mg/dl, urinary amylase: 1150 mg/dl).ConclusionThe lipid profile revealed an impressive elevation of triglycerides (4800 mg/dl) and cholesterol (1009 mg/dl) levels. The serum was extremely lipemic. The abdomen computed tomography confirmed the diagnosis of pancreatitis.
Highlights
A 37 year-old man presented to the emergency department complaining of six hour diffuse abdominal pain accompanied by persistent vomiting.Case report: The patient had a heavy meal a few hours before
The lipid profile revealed an impressive elevation of triglycerides (4800 mg/dl) and cholesterol (1009 mg/dl) levels
The abdomen computed tomography confirmed the diagnosis of pancreatitis
Summary
Conclusion: The lipid profile revealed an impressive elevation of triglycerides (4800 mg/dl) and cholesterol (1009 mg/dl) levels. The patient's physical examination revealed normal bowel sounds and a mild diffuse abdominal tenderness. His vital signs were: Blood Pressure: 160/90 mmHg, Heart Rate: 86 bpm. Routine laboratory examinations revealed leukocytosis (WBC: 13,3 K/μl), hyperglycemia (378 mg/dl) and hyperamylasemia (serum amylase: 380 mg/dl, urinary amylase: 1150 mg/dl).
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