# A case report of acute hyperlipidemic pancreatitis after blastocyst transfer and literature review

## TL;DR

A 28-year-old woman developed acute hyperlipidemic pancreatitis after a blastocyst transfer and was successfully treated with a combination of conventional and traditional Chinese medicine.

## Contribution

This case report highlights a rare complication of assisted reproduction and provides insights into its management.

## Key findings

- The patient was diagnosed with hyperlipidemic pancreatitis following blastocyst transfer.
- Treatment with plasmapheresis, insulin, fenofibrate, and traditional Chinese medicine led to significant improvement.
- The patient was successfully transferred to a general ward after initial ICU management.

## Abstract

A 28-year-old woman with a history of type 1 diabetes and non-alcoholic fatty liver disease (NAFLD) but no other significant past medical history, abdominal pain and nausea and vomiting 9 days after blastocyst transfer. She was diagnosed with Hyperlipidemic pancreatitis (HTGP) associated with assisted reproduction following comprehensive diagnostic evaluations and admitted to the ICU of our hospital.

Upon admission, the patient was managed with nil per os (NPO), plasmapheresis, and supplemental insulin. Medications administered included fenofibrate, ulinastatin, latamoxef (moxalactam), and the traditional Chinese medicine Mirabilite (Glauber’s salt). Fresh frozen plasma (FFP) and albumin were also transfused. Two days later, the patient’s relevant indicators decreased significantly and symptoms improved. The patient was subsequently transferred to the general ward for continued treatment.