Gómez J, Gallego P, Cobo J, Medraño J C, Molina F
Servicio de Medicina Interna, Ciudad Sanitaria La Paz, Madrid.
Rev Clin Esp. 1992 Apr;190(7):352-3.
Pancreatic ascites is an entity defined as amylase levels up to 1.000 U/l in ascitic liquid. Frequently, it is secondary to a rupture of pancreatic ductus or pseudocyst and foreward communication to peritoneal space. We present a male diagnosed of calcified alcoholic chronic pancreatitis with pancreatic ascites secondary to a pseudocyst. Combination of parenteral nutrition and sintetic cyclic somatostatin was efficient. It would act by reducing pancreatic secretion in a long-term manner, which is the final purpose of the treatment. This association would be considered as a former tool in ascitic pancreatic patients, evacuatory punction or delayed surgery been relegated to a conservatory treatment failure or when primary pathology indicate it.
胰源性腹水是一种腹水中淀粉酶水平高达1000 U/l的病症。通常,它继发于胰管或假性囊肿破裂并与腹膜腔相通。我们报告一例诊断为钙化性酒精性慢性胰腺炎并伴有继发于假性囊肿的胰源性腹水的男性患者。肠外营养与合成的环状生长抑素联合使用有效。其作用机制是长期减少胰腺分泌,这是治疗的最终目的。这种联合治疗可被视为胰源性腹水患者的一种首选治疗手段,而穿刺引流或延迟手术则仅适用于保守治疗失败或原发性病变需要时。