Gullo L, Bolondi L, Fontana G, Tessari R, Costa P L, Caletti G C, Miglioli M, Ripani R, Sassi P
Minerva Med. 1977 Sep 30;68(46):3169-75.
2 cases of alcoholic chronic pancreatitis complicated by ascites are described. Both presented a cystic formation in the pancreas. In the first, a direct communication existed between the cystic and peritoneal cavities with passage of pancreatic secretion and serous membrane inflammatory reaction. The literature shows that this mechanism is the one most frequently responsible for ascites in chronic pancreatitis. For diagnosis, demonstration of high amylase and proteins in the ascitic fluid was decisive. Internal drainage of the cyst carried out in one of the two cases resolved the picture.
本文描述了2例酒精性慢性胰腺炎合并腹水的病例。两例患者胰腺均有囊肿形成。第一例中,囊肿与腹腔直接相通,有胰液渗漏及浆膜炎症反应。文献表明,这种机制是慢性胰腺炎腹水最常见的成因。对于诊断而言,腹水中淀粉酶和蛋白质含量升高具有决定性意义。两例中的一例进行了囊肿内引流,病情得到缓解。