MANAGEMENT OF SEVERE HYPERTRIGLYCERIDEMIA IN PREGNANCY: CASE REPORT AND THERAPEUTIC STRATEGIES

Severe hypertriglyceridemia (HTG) during pregnancy is a rare but serious complication, especially in patients with pre-existing dyslipidemia. This condition carries a high risk of acute pancreatitis, obstetric complications, and increased maternal-fetal morbidity. We report the case of a pregnant woman with familial hypertriglyceridemia who developed acute pancreatitis during pregnancy, requiring multidisciplinary management. The therapeutic approach included strict dietary modification, high-dose omega-3 supplementation, and plasmapheresis, which led to a rapid reduction in triglyceride levels and clinical improvement. This case highlights the importance of close monitoring and early intervention in at-risk patients to prevent severe maternal and fetal complications. Personalized management combining dietary measures, appropriate pharmacological therapy, and extracorporeal techniques remains the cornerstone of treatment for severe HTG during pregnancy.