title: High serum albumin ascites gradient ascites--an atypical presentation of metastatic pancreatic cancer.
abstract: Pancreatic adenocarcinoma has less than a 5% 5-year survival rate, and metastatic disease is associated with a median survival of 4.5 months. A typical presentation often includes evidence of biliary obstruction, abdominal pain, jaundice, and weight loss. Significant ascites is not commonly seen at initial presentation and, when present, is typically associated with a low serum albumin ascites gradient (SAAG). We discuss a patient who presented with high-SAAG ascites as her initial presentation, only to be later diagnosed with metastatic pancreatic adenocarcinoma.
authors.affiliation: D.D. Eisenhower Army Medical Center, Medicine Care-line, Building 300, Hospital Road, Fort Gordon, GA 30905, USA.
authors.forename: R Keith
authors.initials: RK
authors.lastname: Fincher
authors.forename: Roland H
authors.initials: RH
authors.lastname: Green
mesh_terms: D000368:Aged; D001201:Ascites / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy; D010190:Pancreatic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy; D012709:Serum Albumin / Q000032:analysis*; D014057:Tomography, X-Ray Computed
chemical_list: D012709:Serum Albumin