A 45-year-old male presents to the emergency department complaining of severe abdominal pain, nausea, and vomiting. His medical history is unremarkable, and he denies a surgical history. He strongly denies alcohol use and does not take daily medications. His family history is only remarkable for cardiac disease. On physical examination, he has mid-epigastric tenderness to palpation. His laboratory studies reveal a leukocytosis, an elevated lipase, but a normal hepatic function panel. He is diagnosed with acute pancreatitis.

He is admitted, made NPO, and receives fluid resuscitation. His triglyceride levels come back as over 1000 mg/Dl, and he is diagnosed with hyperlipidemia. He is treated appropriately and discharged. However, 2 weeks later, he is brought by ambulance with altered mental status, hyperthermia, tachycardia, and tachypnea. A CT scan of his abdomen reveals findings associated with pancreatic necrosis. He undergoes percutaneous drainage successfully. He recuperates and is discharged with fenofibrate and high-dose lovastatin to prevent future pancreatitis episodes.