Hypertriglyceridaemia-induced pancreatitis

Hypertriglyceridaemia-induced pancreatitisA 31-year-old male with a body mass index of 30 kg/m 2 , a history of alcohol use disorder and hyperglycemia presented to the emergency department with sudden onset of severe left upper quadrant (LUQ) abdominal pain.He had no history of pancreatitis or binge drinking episodes before the onset and denied a family history of hyperlipidemia or diabetes mellitus.On examination, LUQ abdomen was tender to percussion and palpation.Abdominal contrast-enhanced computed tomography showed indistinct pancreatic tail margins owing to inflammation and surrounding retroperitoneal fat stranding without evidence of gallstone disease or pancreatic duct dilation (Figure 1a).Substantial, thick chylous layers in the collected blood were noted (Figure 1b); hence, additional laboratory studies were performed that revealed 10.7% HbA1c, and 74 IU/l serum amylase and 6882 mg/dl serum triglyceride (TG) levels.He was subsequently diagnosed with hypertriglyceridemia-induced