title: [Pancreatic peritoneal fistula with bisalbuminemia].
abstract: BACKGROUND
  Pancreatic fistulas are a complication that occur in 3 to 15% of cases during the progression of chronic or acute pancreatitis, usually alcohol-induced. Bisalbuminemia is characterised by two albumin fractions on serum protein electrophoresis. The presence of Bisalbuminemia is inconsistent and has only rarely been reported.
  
  
  METHODS
  A 42 year-old man, excessive drinker, developed pancreatic ascites related to a pancreatic-peritoneal fistula and associated with transitory bisalbuminemia. Treatment was medical with good short term results.
  
  
  CONCLUSIONS
  Ascites was secondary to a pancreatic-peritoneal fistula. It can be constitutional or acquired and transitory, and secondary to prolonged treatment with b-lactamines in a patient with kidney failure or a pancreatic fistula.
authors.affiliation: Clinique médicale, Hôpital d'Instruction des Armées Val de Grace, 74 boulevard Port Royal, 75005 Paris, France. capgastr@club-internet.fr
authors.forename: J
authors.initials: J
authors.lastname: Desramé
authors.forename: H
authors.initials: H
authors.lastname: Delacour
authors.forename: D
authors.initials: D
authors.lastname: Béchade
authors.forename: C
authors.initials: C
authors.lastname: Adem
authors.forename: J-J
authors.initials: JJ
authors.lastname: Raynaud
authors.forename: S
authors.initials: S
authors.lastname: Lecoules
authors.forename: G
authors.initials: G
authors.lastname: Coutant
authors.forename: J-P
authors.initials: JP
authors.lastname: Algayres
mesh_terms: D000328:Adult; D000418:Albumins / Q000032:analysis*; D000428:Alcohol Drinking; D001201:Ascites / Q000209:etiology; D018450:Disease Progression; D005402:Fistula / Q000150:complications*; D006801:Humans; D008297:Male; D010185:Pancreatic Fistula / Q000150:complications*; D010532:Peritoneal Diseases / Q000150:complications*
chemical_list: D000418:Albumins; C030764:bisalbumins