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Pancreatic ascites

P M Devig, G H Cross, J T Mullen

    Southern Medical Journal
    |September 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Pancreatic ascites, a complication of acute pancreatitis, can be successfully treated. Surgical interventions like distal pancreatectomy or cystoduodenostomy effectively manage this condition by addressing enzyme leakage.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Pancreatic Diseases

    Background:

    • Pancreatic ascites is a rare complication of acute pancreatitis.
    • It results from the leakage of pancreatic enzymes into the peritoneal cavity.
    • This leakage can be due to ductal disruption or pseudocyst formation.

    Observation:

    • This study presents two cases of pancreatic ascites.
    • One patient underwent distal pancreatectomy with Roux-en-Y pancreaticojejunostomy.
    • The second patient was treated with cystoduodenostomy.

    Findings:

    • Both surgical procedures resulted in successful drainage of pancreatic ascites.
    • Surgical correction of the underlying pancreatic pathology is effective.
    • Inactivated pancreatic enzymes cause a mild peritoneal reaction.

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    Implications:

    • Surgical management is a viable option for pancreatic ascites.
    • Early diagnosis and intervention can lead to favorable outcomes.
    • Further research into minimally invasive techniques may be beneficial.