A Case of Calcium Resistant Pancreatitis
Keywords:
Hypertriglyceridemia, acute pancreatitis, insulinAbstract
Gallstones and alcohol abuse are two of the most common causes of acute pancreatitis in the US. Aggressive fluid hydration and pain management are the mainstays of management. In some cases, however, symptoms and electrolyte derangements cannot be fixed until the underlying triggering cause is addressed. We present a case of a 39-year-old male with a significant alcohol abuse history presenting with an episode of acute pancreatitis and elevated triglyceride and low calcium levels. Curiously, despite aggressive calcium repletion, levels did not respond. It was only when the triglyceride levels began to normalize did the calcium levels begin to respond.
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