D.I. ABDULGANIYEVA¹, L.I. FEYSKHANOVA¹, I.R. GALIMOVA², S.N. TEREKHOVA², А.А. KHASANOV¹, А.Kh. ODINTSOVA², Z.N. GARAYEVA¹

¹Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

²Republic Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

Abdulganiyeva D.I. ― D. Med. Sc., Professor, Head of the Department of Hospital Therapy, tel. (843) 237-32-61, e-mail: [email protected]

Feyskhanova L.I. ― Cand. Med. Sc., Associate Professor of the Department of Hospital Therapy, tel. +7-917-275-21-66, e-mail: [email protected]

Galimova I.R. ― Cand. Med. Sc., Deputy Chief Doctor on Obstetrics-Gynecological Aid, tel. (843) 231-20-75, е-mail: [email protected]

Terekhova S.N. ― Cand. Med. Sc., Head of the Office of Gravitational Surgery of Blood, tel. +7-927-401-16-24, e-mail: [email protected]

Khasanov A.A. ― D. Med. Sc., Professor, Head of the Department of Obstetrics and Gynecology №1, tel. (843) 236-08-73, e-mail: [email protected]

Odintsova A.Kh. ― Cand. Med. Sc., Head of the Department of Gastroenterology, tel. (843) 231-21-78, e-mail [email protected]

Garayeva Z.N. ― resident doctor of the Department of Hospital Therapy, tel. +7-950-329-51-16, e-mail: [email protected]

 The article describes the clinical case of a pregnant patient with extremely high levels of triglycerides in blood, which in history had three episodes of pancreatic necrosis, one of which developed during the first pregnancy. The state of pregnancy did not allow to resort to the drugs of choice for hypertriglyceridemia. The council of doctors of different profiles decided to use the plasmapheresis. The patient received 10 sessions of plasmapheresis with an interval of 2 to 12 days. After plasmapheresis, the triglyceride levels decreased by 30% from 55.4 to 38.08 mmol/l. Positive dynamics of the level of triglycerides made it possible to avoid acute pancreatitis. The pregnancy successfully ended with birth. Currently, during the lactation period, the patient is taking omega-3 acids, it is planned to use fibrates.

Key words: hypertriglyceridemia, plasmapheresis, pregnancy, omega-3 acids, fibrates.

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