A Rare Case of Pancreatic Ascites Secondary to Chronic Pancreatitis

Pancreatic ascites refer to continuous leakage of pancreatic secretions in the peritoneum leading to accumulation of pancreatic fluid in the peritoneal cavity. Although literature on the incidence of pancreatic ascites and presenting signs and symptoms is scarce, it may be seen in patients with chro...

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Bibliographic Details
Published in:JIM - high impact case reports 2022, Vol.10, p.23247096221103379-23247096221103379
Main Authors: Kayode-Ajala, Fisayo, Jesani, Shruti, Ejikeme, Chidinma, Asrar, Henna, Naqi, Muniba
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Adult
Ascites
Ascites - complications
Ascites - diagnosis
Case Report
Case reports
Female
Humans
Pancreas
Pancreatitis
Pancreatitis, Chronic - complications
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Summary:Pancreatic ascites refer to continuous leakage of pancreatic secretions in the peritoneum leading to accumulation of pancreatic fluid in the peritoneal cavity. Although literature on the incidence of pancreatic ascites and presenting signs and symptoms is scarce, it may be seen in patients with chronic alcoholic pancreatitis. Patients typically present with acute chronic pancreatitis and new-onset ascites, with or without abdominal pain. A diagnostic paracentesis is usually the first step to determine the etiology of the ascites. Mild cases may resolve with conservative management. Optimization of nutrition status is an important factor to reduce morbidity and mortality. More severe cases or cases refractory to conservative management may require endoscopic or surgical intervention. This case report describes a rare presentation of pancreatic ascites in a 35-year-old female.
ISSN:2324-7096
2324-7096
DOI:10.1177/23247096221103379