After experiencing no improvement from several days of treatment for acute pancreatitis at another medical facility, Hai arrived at Tam Anh General Hospital in Ho Chi Minh City with a high fever, shortness of breath, and abdominal distension. Doctor Ly Gia Cuong from the Emergency Department reported that Hai suffered from severe acute pancreatitis accompanied by fluid buildup in the abdomen and lungs, causing respiratory distress and signs of sepsis – a life-threatening complication. His underlying conditions of hypertension, obesity, and lipid disorders contributed to the rapid and severe progression of the illness.

Doctor Cuong explained that obese individuals often have lipid disorders, particularly elevated triglycerides, which is one of the causes of acute pancreatitis. Consuming protein- and fat-rich seafood can stimulate the pancreas to secrete large amounts of digestive enzymes. If this is combined with blockage or lipid disorders, it can easily trigger the disease.

Hai received treatment in the Intensive Care and Toxicology Unit (ICU) with strong antibiotics, anti-inflammatory medication, pain relievers, and supplemental oxygen. During the initial days of treatment, his fever persisted above 39 degrees Celsius, and he was nourished intravenously. Doctors closely monitored his liver, kidney, and heart function and conducted various tests to control the risk of septic shock and multiple organ damage.

After over a week of treatment, Hai showed signs of recovery, with his fever subsiding, abdominal pain decreasing, breathing becoming easier, and he was able to start drinking sugar water and eating thin porridge.

The patient was closely monitored and treated in the ICU. Illustrative photo: *Tam Anh General Hospital*

Acute pancreatitis is a condition where the pancreas becomes inflamed due to the accumulation of digestive enzymes produced by the body, which then "digest" the pancreatic tissue. Common causes include alcohol consumption and excessive intake of protein- and fat-rich foods.

Abdominal pain after a large meal, especially severe upper abdominal pain, fever, nausea, and frequent vomiting, can be signs of acute pancreatitis. Doctor Cuong advised individuals with pre-existing metabolic conditions such as lipid disorders, diabetes, and obesity to be vigilant if they experience abdominal pain after consuming seafood or foods high in fat and protein. He recommended seeking immediate medical attention for evaluation.

Nhat Thanh

*The patient's name has been changed.