The patient proceeded to further work-up including ultrasound that did not demonstrate cholelithiasis was well as blood tests with selected results shown:

  • Lipase: 519 IU/L (normal 8-78) 

Fasting lipid profile:

  • Cholest.    17.9H mmol/L (normal <4.0)
  • HDLC        0.4L mmol/L (normal >1.0)
  • Triglycer.   32.3H  mmol/L (normal <1.5)

The patient also denied alcohol abuse. 

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