Efficacy of Non Surgical Measures for Managing Pancreatic Ascites | Chapter 07 | New Horizons in Medicine and Medical Research Vol. 10

 Pancreatic ascites (PA) is an uncommon condition characterised by exudative fluid accumulation in the peritoneal cavity and high levels of amylase. Pancreatic ascites can occur as a result of pseudocyst rupture or ductal disruption in chronic calcific pancreatitis caused by alcohol misuse, tropical calcific pancreatitis, and other causes.

The goal of this case series is to assess the efficacy of nonsurgical interventions in the management of pancreatic ascites in carefully chosen cases.

Case Series: In this case series, we present three patients who developed pancreatic ascites as a result of non-ethanol-induced chronic calcific pancreatitis and were effectively managed without surgery. Image-guided percutaneous catheter drainage (PCD) and transpapillary pancreatic duct (PD) stent insertion were used to treat two instances of PA. The third instance was dealt with solely by PCD. PA was resolved in all three individuals.

Conclusion: In selected instances, conservative therapy with PCD and PD stent implantation aids in the successful control of PA with positive effects.

Author(S) Details

V. Katheresan
Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India.

A. Sivasankar
Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India.

M. Ponchidambaram
Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India.

B. Kesavan
Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India.

R. D. R. Somasekar
Department of Surgical Gastroenterology, GMKMCH, Salem, Tamil Nadu, India.

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