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Case Series
Non-operative management for pancreatic ascites: A case series
1 Mch Resident, Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India
2 HOD and Professor, Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India
3 Associate Professor, Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India
4 Assistant Professor, Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India
Address correspondence to:
Katheresan V
Mch Resident, Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu,
India
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Article ID: 100007G02KV2021
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How to cite this article
Katheresan V, Sivasankar A, Ponchidambaram M, Kesavan B, Somasekar RDR. Non-operative management for pancreatic ascites: A case series. Edorium J Gastrointest Surg 2021;6:100007G02KV2021.ABSTRACT
Introduction: Pancreatic ascites (PA) refers to the exudative fluid collection in to the peritoneal cavity with rich amylase levels and is a rare entity. Chronic calcific pancreatitis related to alcohol abuse, tropical calcific pancreatitis, etc. may present with pancreatic ascites secondary to pseudocyst rupture or ductal disruption.
Case Series: In this case series, we have described three patients of pancreatic ascites due to non-ethanol induced chronic calcific pancreatitis who were treated successfully by non-surgical measures. Two cases of PA were managed with image guided percutaneous catheter drainage (PCD) followed by transpapillary pancreatic duct (PD) stent placement and the third case was managed with PCD alone. All three patients had resolution of PA.
Conclusion: Conservative management with PCD and PD stent placement helps in the effective management of PA in selected cases with fruitful results.
Keywords: Chronic calcific pancreatitis, Pancreatic fistula, Percutaneous drainage, Transpapillary pancreatic duct stent
SUPPORTING INFORMATION
Author Contributions
Katheresan V - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sivasankar A - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ponchidambaram M - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Kesavan B - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Somasekar RDR - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Katheresan V et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
