ABSTRACT
Acute pancreatitis is a sudden inflammation of the pancreas. It is related with severe complications and high mortality despite treatment. One of the most common causes of acute pancreatitis is hypertriglyceridemia (HTG) that is defined as triglyceride levels more than 150 mg/dl. There are effective treatment choices during pregnancy such as dietary restriction of fat, intravenous heparin and insulin and plasmapheresis. We presented a patient with severe HTG induced pancreatitis during pregnancy. She was consulted with hypertension and epigastric pain in the 31st weeks of gestation. After birth, she was treated successfully with heparin, insulin and cessation of oral intake and total parenteral nutrition.