Pancreatic ascites: Diagnostic importance of ascitic lipase


10 cases of pancreatic ascites are presented. Ascitic fluid lipase is complementary to the determination of ascitic amylase in the diagnosis of pancreatic ascites and may be a more reliable diagnostic indicator of pancreatic ascites on a random ascitic fluid sample. Conservative management, consisting of abdominal paracentesis with or without diurectics, proved to be the treatment of choice in 3 of our patients who failed to reveal an associated pseudocyst.

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  1. 1.

    Smith EB: Hemorrhagic ascites and hemithorax associated with benign pancreatic diseases. Arch Surg 67:52–56, 1953

    Google Scholar 

  2. 2.

    Howard JM, Jordan GL Jr: Surgical diseases of the pancreas. Philadelphia, JB Lippincott Co., p 294

  3. 3.

    Kirianoff T, Strauch GO, Rogers JF: The nature of the pancreatic ascites. Conn Med. 33(9):573–575, 1969

    Google Scholar 

  4. 4.

    Smith RV, Warren DW, Rivard AA, Anderson JR: Pancreatic ascites. Ann Surg 177:583, 1973

    Google Scholar 

  5. 5.

    Dreiling DA: The lymphatics, pancreatic ascites and pancreatic inflammatory disease. Am J Gastroenterol 53:119–131, 1970

    Google Scholar 

  6. 6.

    Dumont AE, Martelli AB: Pathogenesis of pancreatic edema following exocrine duct obstruction. Ann Surg 168:302–309, 1968

    Google Scholar 

  7. 7.

    Pellegrini GF, Pucci C, Scortecci V, Taschieri AM, Trivellini G: Use of lymphangiography in the diagnosis of chronic pancreatitis. J Chir 94: 325–332, 1967

    Google Scholar 

  8. 8.

    Sarles JC: Lymphangiography in chronic pancreatitis. Gut 9:256, 1968

    Google Scholar 

  9. 9.

    Wagner RB, Rolins SH: Pancreatic ascites. J Mt Sinai Hosp, NY 36:216–219, 1969

    Google Scholar 

  10. 10.

    Cameron JL, Anderson RP, Quilema GD: Pancreatic ascites, Surg Gynec Obstet 125:328–332, 1967

    Google Scholar 

  11. 11.

    Jensen NM, Babior BM: Ascites due to chronic pancreatitis. JAMA 201:4881, 1967

    Google Scholar 

  12. 12.

    Smith RB III, Warren WD, Rivard AA Jr, Amerson JR: Pancreatic ascites, diagnosis and management with particular reference to surgical techniques. Ann Surg 177:538–546, 1973

    Google Scholar 

  13. 13.

    Cayten CG, Mullen JL, Rosato EF: Pancreatic ascites with Ca of the pancreas. Am J Gastroenterol 58:73–76, 1972

    Google Scholar 

  14. 14.

    Rosenberg IK, Kahn JA, Walt AJ: Surgical experience with pancreatic pseudocysts. Am J Surg 117:11–17, 1969

    Google Scholar 

  15. 15.

    Frank BW, Kern F Jr: Intestinal liver lymph and lymphatics. Gastroenterology 55:408, 1968

    Google Scholar 

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Correspondence to Dr. Satish K. Chawla MD.

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Sileo, A.V., Chawla, S.K. & LoPresti, P.A. Pancreatic ascites: Diagnostic importance of ascitic lipase. Digest Dis Sci 20, 1110–1114 (1975).

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  • Public Health
  • Lipase
  • Amylase
  • Conservative Management
  • Fluid Sample