Introduction
Severe lipid abnormalities during pregnancy are rare but can have life threatening consequences for both mother and child. One such extraordinary case was documented involving a third-trimester pregnant woman with triglyceride levels exceeding 8000 mg/dl. This case sheds light on the dangers of gestational hypertriglyceridemia and the potential of therapeutic plasma exchange in managing acute lipid crises.
Visit https://www.obstetricgynecoljournal.com for more groundbreaking research in women’s health.
Case Overview: A 31-Year-Old’s Pregnancy Emergency
- The patient presented with abdominal pain and respiratory distress during her third trimester.
- Blood tests revealed extremely lipemic serum with:
- Triglycerides: 8178 mg/dl
- Total Cholesterol: 1701 mg/dl
- LDL: 788 mg/dl
- No family history suggested inherited lipid disorders.
Diagnosis and Intervention
- A clinical picture of gestational hypertriglyceridemia with acute pancreatitis was formed.
- Despite limitations in conducting genetic tests, immediate treatment was prioritized:
- Insulin-Dextrose infusion
- Therapeutic Plasma Exchange (TPE) as shown in the plasma filter and effluent images from the case.
A detailed analysis can be found in our main journal articlejournal.cjog.1001080.
Recovery & Outcome
- The intervention led to a substantial reduction in serum triglycerides (from 8178 mg/dl to 651 mg/dl).
- The patient was discharged in stable condition, highlighting the potential effectiveness of TPE in critical lipid management.
Broader Implications
This rare case aligns with findings from the American College of Obstetricians and Gynecologists (ACOG), which underscores the importance of lipid screening and early intervention during pregnancy to prevent adverse maternal-fetal outcomes.
Related Research & Resources
- View other cases in obstetric emergencies
- Clinical Journal of Obstetrics and Gynecology – Archives
- Understanding Pregnancy-related Lipid Disorders
Final Thoughts
This report amplifies the need for routine lipid profiling during pregnancy, especially for those with unexpected symptoms. Quick intervention can mean the difference between complication and recovery.
Explore more studies at https://www.obstetricgynecoljournal.com and join the conversation by sharing your thoughts in the comments below!


Leave a comment