Abstract
Pancreatic ascites is defined as the persistent accumulation of “massive” amounts of intraperitoneal fluid during the course of chronic pancreatitis which is characterized by a high amylase level and a high protein content, usually over 3 g/1 [14]. In most cases the ascites is serous in nature, but it may be serosanguinous, turbid or chylous.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Barua RL, Villa F, Steigmann F (1962) Massive ascites due to pancreatitis. Am J Dig Dis 7:900–906
Beger HG, Kunz R, Bittner R (1987) Prognostic criteria in necrotizing pancreatitis. In: Beger HG, Buchler M (eds) Acute pancreatitis. Springer, Berlin Heidelberg New York, pp 198–200
Block S, Maier W, Bittner R, Buchler M, Malfertheiner P, Beger HG (1986) Identification of pancreatic necrosis. Severe acute pancreatitis: imaging procedures versus clinical staging. Gut 27:1035–1042
Bockus HL (1946) Gastroenterology, Vol 3. Saunders, Philadelphia, p 840
Cameron JL (1978) Chronic pancreatic ascites and pancreatic pleural effusion. Gastroenterology 74:134–140
Cameron JL, Anderson RP, Zuidema GD (1967) Pancreatic ascites. Surg Gynecol Obstet 125:328–332
Cameron JL, Brawley RK, Bender HW, Zuidema GD (1969) The treatment of pancreatic ascites. Ann Surg 170:668–676
Cameron JL, Kieffer RS, Sanderson WJ, Zuidema GD (1976) Internal pancreatic fistulas: pancreatic ascites and pleural effusions. Ann Surg 184:588–593
Castle LAM, Terblanche J (1978) Pancreatic ascites and pleural effusions. Aust NZ J Surg 48:290–295
Classen DC, Jacobson JAB, Burke JP, Jacobson JT, Scott Evans R (1988) Serious Pseudomonas infections associated with endoscopic retrograde cholangiopancreatography. Am J Med 84:590–596
Davis ML, Kelsey WM (1951) Chronic pancreatitis in childhood. Am J Dis Child 81:687–692
Davis RE, Graham DY (1975) Pancreatic ascites: the role of endoscopic pancreatography. Dig Dis 20:977–980
Devig PM, Cross GH, Mullen JT, Blanchard PB (1976) Pancreatic ascites. South Med J 69:1133–1135
Donowitz M, Herstein MD, Spiro HM (1974) Pancreatic ascites. Medicine (Baltimore) 53:183–195
Dragstedt LR, Haymond HE, Ellis JC (1934) Pathogenesis of acute pancreatitis. Arch Surg 28:233–291
Gambill EE, Walters W, Scanion PW (1960) Chronic relapsing pancreatitis with extensive subacute peritonitis and chronic, recurrent massive “chylous” ascites. Am J Surg 28:668–670
Gekas MD, Nikoomanesh R, Smith GW (1979) Pancreatic ascites: a rare complication of distal splenorenal shunt. Am J Surg 138:710–712
Hotz J, Goebell M, Herforth G, Probst M (1977) Massive pancreatic ascites without carcinoma. Report of three cases. Digestion 15:200–216
Ingram DM, Sheiner HJ (1980) Massive pancreatic serous effusions. Aust NZ J Surg 50:137–140
Kalwinsky D, Fritelli G, Oski FA (1974) Pancreatitis presenting as unexplained ascites. Am J Dis Child 128:734–736
Kavin H, Sobel JD, Dembo AJ (1971) Pancreatic ascites treated by irradiation of pancreas. Br Med J 2:503–504
Leger L, Lenriot JP, Lemaigre G (1974) Five to twenty year follow-up after surgery for chronic pancreatitis in 148 patients. Ann Surg 180:185–191
Levine JB, Warshaw AL, Falchuk KR, Schapiro RH (1977) The value of endoscopic retrograde pancreatography in the management of pancreatic ascites. Surgery 81:360–362
McCarthy MC, Dickerman RM (1982) Surgical management of severe acute pancreatitis. Arch Surg 117:476–480
McMahon MJ, Playforth MJ, Pickford IR (1980) A comparative study of methods for the prediction of severity of attacks of acute pancreatitis. Br J Surg 67:22–25
Morton RE, Deluca R, Reisman TN, Radkin JB, Rogers AI (1976) Pancreatic ascites: successful treatment with pancreatic radiation. Dig Dis 21:333–336
Munoz JN, Bose S (1975) Pancreatic ascites: a case report and review of the literature. Am J Dig Dis 20:1178–1183
Ou Tim L, Sotomayor M, Segal I (1977) Pancreatic ascites. S Afr J Surg 15:201–204
Paloyan D, Skinner DB (1976) Clinical significance of pancreatic ascites. Am J Surg 132:114–117
Rawlings W, Bynum TE, Pasternak G (1977) Pancreatic ascites: diagnosis of leakage site by endoscopic pancreatography. Surgery 81:363–365
Roberts JC (1975) Traumatic pancreatitis and pleural effusion. Aust NZ J Surg 45:90–94
Sankaran S, Walt AJ (1975) The natural and unnatural history of pancreatic pseudocysts. Br J Surg 62:37–44
Sankaran J, Walt AW (1976) Pancreatic ascites, recognition and management. Arch Surg 111:430–434
Sankaran S, Sugawa C, Walt AJ (1979) Value of endoscopic retrograde pancreatography in pancreatic ascites. Surg Gynecol Obstet 148:185–192
Satz N, Uhlschmid G, Pei P, Streuli R, Ammann RW (1984) On the pathogenesis of pancreatic ascites. Eur Surg Res 16:170–174
Sileo AV, Chawla SK, Loprest PA (1975) Pancreatic ascites: diagnostic importance of ascitic lipase. Dig Dis 20:1110–1114
Smith RB, Warren WD, Rivard AA, Anderson JR (1973) Pancreatic ascites. Diagnosis and management with particular reference to surgical technics. Ann Surg 177:538–546
Sottomayor M, Nom Chong R, Dawson M (1978) Use of ERCP in the diagnosis of internal pancreatic fistula. Gut 19:244–246
Sparks FC, Levine JB, Henken EM (1979) Pancreatic ascites — management by caudal pancreatectomy and side-to-side pancreaticojejunostomy. Am J Surg 138:713–715
Tombroff M, Loisq A, de Koster JP, Englehom L, Govaerts J-P (1973) Pleural effusion with pancreaticopleural fistula. Br Med J 1:330–331
Van Sonnenberg E, Wittich GR, Casola G, Stauffer AE, Polansky AD, Coons HG, Cabrere OA, Gerver PS (1985) Complicated pancreatic inflammatory disease: diagnostic and therapeutic role of interventional radiology. Radiology 155:335–340
Varma JS (1985) Acute chylous ascites with carcinoid of the pancreas. Scott Med J 30:111
Verma GR, Sabharwal A, Rajvansh A, Kauskik SP (1983) Pancreatic ascites due to Hodgkin’s lymphoma pancreas. Indian J Cancer 20:38–39
Ward PA, Raju S, Suzuki H (1977) Preoperative demonstration of the pancreatic fistula by endoscopic pancreatography in a patient with pancreatic ascites. Ann Surg 185:232–234
Weaver DW, Walt AJ, Sugawa C, Bouwan DL (1982) A continuing appraisal of pancreatic ascites. Surg Gynecol Obstet 154:845–848
Wilkinson AE, Richards AT (1972) Proceedings of surgical case conferences held at the Johannesburg Hospital. S Afr J Surg 10:235–237
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Neoptolemos, J.P., Winslet, M.C. (1990). Pancreatic Ascites. In: Beger, H.G., Büchler, M., Ditschuneit, H., Malfertheiner, P. (eds) Chronic Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75319-0_34
Download citation
DOI: https://doi.org/10.1007/978-3-642-75319-0_34
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-75321-3
Online ISBN: 978-3-642-75319-0
eBook Packages: Springer Book Archive