Pancreatic ascites in children

ASHLEY J. D'CRUZ, Patrick Sequeira Kamath, C. RAMACHANDRA, ANAND JALIHAL

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We report on three children with pancreatic ascites confirmed by endoscopic retrograde cholangiopancreaticography (ERCP) and treated with surgery. The children presented with ascites, malnutrition and severe weight loss. Pancreatic ascites was diagnosed by elevated ascitic fluid and serum amylase levels. ERCP demonstrated a pseudocyst and the site of disruption of the pancreatic duct, but not the etiology of the pancreatitis. Following a period of nutritional support, surgery was carried out. Two of the children underwent a stented transgastric drainage of the pseudocyst; a recurrent pseudocyst in one of the children required a revision cystojejunostomy. The third child was treated with a Roux‐en‐Y cystojejunostomy. All the children are pain‐free and without ascites and are doing well on long‐term follow‐up. We conclude that pancreatic ascites must be considered in the differential diagnosis of intractable ascites in children. An ERCP is essential in planning management and cystoenterostomy is the definitive treatment. 1995 Japan Pediatric Society

Original languageEnglish (US)
Pages (from-to)630-633
Number of pages4
JournalPediatrics International
Volume37
Issue number5
DOIs
StatePublished - 1995
Externally publishedYes

Fingerprint

Ascites
Nutritional Support
Pancreatic Ducts
Ascitic Fluid
Amylases
Malnutrition
Pancreatitis
Weight Loss
Drainage
Japan
Differential Diagnosis
Pediatrics
Serum

Keywords

  • cystoenterostomy
  • endoscopic retrograde cholangiopancreaticography
  • pancreatic ascites
  • pseudocysts

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

D'CRUZ, ASHLEY. J., Kamath, P. S., RAMACHANDRA, C., & JALIHAL, ANAND. (1995). Pancreatic ascites in children. Pediatrics International, 37(5), 630-633. https://doi.org/10.1111/j.1442-200X.1995.tb03391.x

Pancreatic ascites in children. / D'CRUZ, ASHLEY J.; Kamath, Patrick Sequeira; RAMACHANDRA, C.; JALIHAL, ANAND.

In: Pediatrics International, Vol. 37, No. 5, 1995, p. 630-633.

Research output: Contribution to journalArticle

D'CRUZ, ASHLEYJ, Kamath, PS, RAMACHANDRA, C & JALIHAL, ANAND 1995, 'Pancreatic ascites in children', Pediatrics International, vol. 37, no. 5, pp. 630-633. https://doi.org/10.1111/j.1442-200X.1995.tb03391.x
D'CRUZ, ASHLEY J. ; Kamath, Patrick Sequeira ; RAMACHANDRA, C. ; JALIHAL, ANAND. / Pancreatic ascites in children. In: Pediatrics International. 1995 ; Vol. 37, No. 5. pp. 630-633.
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