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[Pancreatic ascites]

A Jasiński1, W Suchanek, S Mitlener

  • 1Kliniki Gastroenterologii Akademii Medycznej w Gdańsku.

Polskie Archiwum Medycyny Wewnetrznej
|March 1, 1995
PubMed
Summary
This summary is machine-generated.

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Pancreatic ascites, characterized by high amylase levels in ascitic fluid, presents a serious condition in alcoholics. While one patient succumbed to septic shock, another improved with clinical treatment and parenteral nutrition.

Area of Science:

  • Gastroenterology
  • Internal Medicine

Background:

  • Pancreatic ascites is a rare complication of pancreatitis, often associated with chronic alcoholism.
  • It is characterized by the accumulation of pancreatic fluid in the peritoneal cavity.

Observation:

  • Two cases of pancreatic ascites in middle-aged male alcoholics are presented.
  • Both patients exhibited rapidly accumulating ascites and biochemical evidence of pancreatitis.
  • Ascitic fluid analysis revealed elevated amylase and protein levels, confirming pancreatic origin.

Findings:

  • The first patient, a 29-year-old male, received conservative treatment which was ineffective, and refused surgery, ultimately dying from septic shock. Autopsy confirmed pancreatic ascites.
  • The second patient, a 43-year-old male, showed improvement with clinical management and parenteral nutrition, and was discharged after 4 weeks.

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Implications:

  • Pancreatic ascites poses a significant diagnostic and therapeutic challenge.
  • Early diagnosis and appropriate management, including nutritional support, are crucial for patient outcomes.
  • Alcohol cessation is paramount in managing patients with alcohol-induced pancreatitis and its complications.