November 12, 2014
ISSN: 2090-6900 (Print)
Accession Number: 24363949
Abstract: Purpose. Ascites, esophageal varicose veins, and acute digestive bleeding are unusual in the clinical presentation of chronic pancreatitis; however, these symptoms are frequently observed in patients with liver cirrhosis. Moreover, it is unlikely to observe chylous ascites in both presentations. Method. We report a patient who presented with chronic pancreatitis with splenic vein thrombosis, necrosis of the pancreatic neck and tail, esophageal varicose veins with previous bleeding, and chylous ascites. After partial pancreatectomy, his treatment was based on low-fat oral diet with medium-chain triglycerides with remarkable resolution of the chylous ascites. After 3 years, he presented with decompensated chronic pancreatitis and underwent plexus alcoholization and biliary-enteric deviation with an unremarkable postoperative course. Conclusion. Ascites is rarely associated with chronic pancreatitis, and chylous ascites is even rarer. The treatment of atraumatic chylous ascites is based on resolution of the obstructive causes and should include drainage and a low-fat diet with medium-chain triglycerides.
Notes: Andraus, Wellington
Nacif, Lucas Souto
Araujo, Raphael L C
Buscariolli, Yuri Dos Santos
D’Albuquerque, Luiz Augusto Carneiro
Case Rep Surg. 2013;2013:763561. doi: 10.1155/2013/763561. Epub 2013 Dec 2.
Author Address: Liver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of Sao Paulo School of Medicine, 05403-900 Sao Paulo, SP, Brazil.
Reference Type: Journal Article
Record Number: 4601Author: Appasani, S., Basha, J., Singh, K. and Kochhar, R.
Title: Endoscopic ultrasound assisted etiological localization in acute pancreatitis
Journal: Endosc Ultrasound