Patient with gemfibrozil-controlled hypertriglyceridemia that developed acute pancreatitis after starting ketogenic diet.

Objective: To report the case of a patient with gemfibrozil-controlled hypertriglyceridemia (HTG) that developed acute pancreatitis several days after starting a high-fat ketogenic diet.

Methods: The patient was evaluated and treated by the authors.

Results: The patient denied viral prodrome or previous symptoms, ethanol consumption, or a known history of cholelithiasis.