Open AccessA Diabetic Patient with Abdominal Pain and Lactescent Serum
Author(s) -
Lui CT,
Tsui KL,
Kam CW
Publication year - 2008
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490790801500303
Subject(s) - medicine , acute pancreatitis , abdominal pain , vomiting , emergency department , pancreatitis , acute abdominal pain , incidence (geometry) , diabetes mellitus , surgery , endocrinology , optics , physics , psychiatry
We present the case of a poorly controlled diabetic patient suffering from acute onset of abdominal pain and vomiting. A blood sample taken at the bedside revealed lactescent serum and provided an important clue to the patient's status of having severe hypertriglyceridaemia. The clinical diagnosis of hypertriglyceridaemia‐induced acute pancreatitis was correctly made in the accident and emergency department. Clinical photos of the lactescent serum are shown. The incidence, risk factors and management of this particular type of acute pancreatitis are discussed.