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[Pancreatic peritoneal fistula with bisalbuminemia]
J Desramé1, H Delacour, D Béchade
1Clinique médicale, Hôpital d'Instruction des Armées Val de Grace, 74 boulevard Port Royal, 75005 Paris, France. capgastr@club-internet.fr
Introduction:
Pancreatic fistulas are a complication that occur in 3 to 15% of cases during the progression of chronic or acute pancreatitis, usually alcohol-induced. Bisalbuminemia is characterised by two albumin fractions on serum protein electrophoresis. The presence of Bisalbuminemia is inconsistent and has only rarely been reported.
Observation:
A 42 year-old man, excessive drinker, developed pancreatic ascites related to a pancreatic-peritoneal fistula and associated with transitory bisalbuminemia. Treatment was medical with good short term results.
Discussion:
Ascites was secondary to a pancreatic-peritoneal fistula. It can be constitutional or acquired and transitory, and secondary to prolonged treatment with b-lactamines in a patient with kidney failure or a pancreatic fistula.
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