Pancreatic ascites: management by caudal pancreatectomy and side-to-side pancreaticojejunostomy.
A patient with pancreatic ascites is presented who had neither a pseudocyst nor demonstrable pancreatic duct disruption, despite the presence of both calculi and strictures in a dilated duct of Wirsung. Concurrently, the patient exhibited intractable abdominal pain characteristic of end-stage chronic alcoholic pancreatitis. The pancreatic ascites responded only briefly to nonoperative management with hyperalimentation. Side-to-side pancreticojejunostomy with caudal pancreatectomy relieved the patient of both pain and ascites, suggesting that this more direct approach may be worthy of consideration in patients with similar findings.
D000328:Adult; D000437:Alcoholism / Q000150:complications; D001201:Ascites / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008722:Methods; D010179:Pancreas / Q000601:surgery; D010183:Pancreatic Ducts / Q000601:surgery*; D010189:Pancreatic Juice; D010195:Pancreatitis / Q000150:complications / Q000209:etiology / Q000601:surgery*