Hypertriglyderidemia is responsible for up to 10% of cases of pancreatitis, appearing as the third most common etiology. This article describes the case of a 29-year-old woman admitted to the internal medicine department in order to investigate an asymptomatic severe hyponatremia. Later, she was diagnosed with pancreatitis, and with the concomitant presence of small gallstones and chylomicronemia syndrome, so the hyponatremia was proved to be a pseudohyponatremia. After discharge, the patient maintained episodes of pancreatitis, even after cholecystectomy, in probable relation with bad medical compliance to hypolipidemic therapy.
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