Pancreatic ascites

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Abstract

Ascites occurring in patients with a history of alcoholism is usually due to cirrhosis but clinically significant ascites also occurs in association with pancreatic disease. The authors reviewed 265 cases of pancreatitis over a 5-yr period. There were 129 blacks and 136 Caucasians. Ages ranged from 19-86 yr, with a mean of 46.2 yr. Eight of these cases (3%) were found to have pancreatic ascites. The initial serum and urinary amylase had no prognostic value regarding the subsequent development of pancreatic ascites. The mean ascitic fluid amylase was 14,426 Somogyi units (range 1,279-67,774). The mean ascitic fluid protein was 4.6 g/100 ml (range 1.4-7.2). High enzyme and protein concentration in the ascitic fluid are characteristic of pancreatic ascites. Out of 8 cases, 2 were associated with a pseudocyst, 3 with hemorrhagic pancreatitis and 3 with acute edematous pancreatitis. Four of these 8 (50%) died. Pancreatic ascites is a distinct clinical entity which should be differentiated from cirrhotic, tuberculous or malignant ascites.

Original languageEnglish (US)
Pages (from-to)186-192
Number of pages7
JournalAmerican Journal of Gastroenterology
Volume71
Issue number2
StatePublished - 1979
Externally publishedYes

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Ascites
Ascitic Fluid
Pancreatitis
Amylases
Pancreatic Diseases
Alcoholism
Proteins
Fibrosis
Enzymes
Serum

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Pancreatic ascites. / Mann, Surinder K; Mann, Nirmal S.

In: American Journal of Gastroenterology, Vol. 71, No. 2, 1979, p. 186-192.

Research output: Contribution to journalArticle

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