Pancreatic ascites: treatment with octreotide – Case report [Abstract in English]
2006
Introduction: Pancreatic ascites is a rare condition,
with less than 250 cases published. It is defined as
exsudative ascites caused by a nonmalignant pancreatic
disease with diagnostic labarotial characteristics high
concentrations of amylase (generally > 1.000 UI/L) and
protein (> 3.0 g/dl) in the ascitic liquid. The objective of
this study is to describe the evolution of a case of pancreatic
ascites focusing on the treatment proposed.
Description of the case: The patient was a 37-yearold
male with a previous diagnose of chronic pancreatitis.
When hospitalized, his complaint was abdominal pain.
In the physical exam, he presented ascites, which was
punctured, evidencing total proteins 4.2 g/dl and amylase
11.457 UI/L. The treatment for pancreatic ascites started
with the administration of total parenteral nutrition and
octreotide, the latter being maintained for 28 days. The
patient had a progressive reduction of the ascites and did
not present abdominal pain. During the 3 and 6 months in
which he participated in clinical follow ups, he was
asymptomatic.
Comments: The treatment of pancreatic ascites is still
controversial. It can be conservative or interventional, and
the latter can either be endoscopic or surgical. Despite the
success of the treatment with octreotide in the case reported,
and considering the few and controversial evidences presented
in the literature, more patients should be observed in order to determine the best treatment for pancreatic
ascites.
KEY WORDS: ASCITES/drug therapy; PANCREAS;
OCTREOTIDE.
Keywords:
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