Pancreatic Ascites Managed With a Conservative Approach

A Case Report

Raju Bhandari; Rajan Chamlagain; Saraswati Bhattarai; Eric H. Tischler; Rajesh Mandal; Ramesh Singh Bhandari


J Med Case Reports. 2020;14(154) 

In This Article


Alcoholic chronic pancreatitis is the most common cause of pancreatic ascites; it is a rare entity. Biliary pancreatitis, pancreatic trauma and cystic duplications of biliopancreatic ducts, ampullary stenosis, or ductal lithiasis account for the remainder of cases. Diagnosis is usually clinched by raised ascitic fluid amylase (> 3 times that of plasma), raised total ascitic protein level (> 3 g/dl) and low SAAG (< 1.1 g/dl) in the presence of pancreatic disease, and such cases can be managed by a conservative approach.