[Pancreatic peritoneal fistula with bisalbuminemia].
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.
Desramé
J
J
Clinique médicale, Hôpital d'Instruction des Armées Val de Grace, 74 boulevard Port Royal, 75005 Paris, France. capgastr@club-internet.fr
Delacour
H
H
Béchade
D
D
Adem
C
C
Raynaud
J-J
JJ
Lecoules
S
S
Coutant
G
G
Algayres
J-P
JP
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*
D000418:Albumins; C030764:bisalbumins