Successful management of a pregnancy complicated with familial hypertriglyceridemia: A case report

Background: Pregnancy complicated with familial hypertriglyceridemia is a high risk pregnancy, and if improperly managed, can lead to life threatening complications like acute pancreatitis. We present a case of successful management of a severe hypertriglyceridemia in pregnancy in a patient with Type 4 dyslipidemia in a tertiary care center of South India. Case: A 32 year old Rh negative primigravida was a known case of familial hypertriglyceridemia. She had a progressive increase in triglyceride levels during the pregnancy which required multiple hospital admissions with a multidisciplinary approach for stringent lipid control with dietary modifications, lipid lowering drugs, insulin infusion along with periodic monitoring of the fetus. The pregnancy was uneventful and she delivered a healthy baby without any postnatal complications.