Hypertriglycéridémies gestationnelles sévères : complications et principes de prise en charge

We present two cases of severe hypertriglyceridemia (HTG > 10 g/l) in pregnancy. The first reports the case of a primigravida with mild HTG before conception. Triglycerids (TG) increased thereafter (20.9 g/l) during pregnancy causing pancreatitis and in utero fetal death at 24 weeks' gestation (WG). The second deals with the de novo occurrence of a severe HTG (19 g/l) diagnosed incidentally at 34 WG and complicated by acute renal failure. Severe HTG in pregnancy threatens maternal and fetal prognosis. We have summarized the curative and preventive management of gravidic HTG.