A 27-year-old-woman with history of insulin dependent diabetes mellitus, hypertriglyceridemia and recent laparoscopic cholecystectomy presented to the hospital with severe upper abdominal pain. Initial laboratory workup was pertinent for a lipase of 1163units/L, triglyceride level of 5680mg/dL, random blood sugar of 321g/dL, anion gap of 19 without acetone in the blood and the liver and kidney functions were normal. Abdominal CT scan was consistent with acute pancreatitis. An electrocardiogram (ECG) revealed ST-segment elevation (STE) in V4–V6 without pathological Q waves or reciprocal ST-segment depression (STD).
