Ascitis pancreática
Keywords:
ascitis pancreatica, pancreatitis aguda, alcoholismo.Abstract
Introducción: La ascitis pancreática es una entidad de baja incidencia que ocurre generalmente como consecuencia a una pancreatitis crónica y se asocia al consumo crónico de alcohol.
Objetivo: Presentar el caso de un paciente con ascitis pancreática asociado a pancreatitis aguda.
Presentación de caso: Paciente de 54 años, consumidor crónico de alcohol, con cuadro de dolor abdominal de 3 meses de evolución asociado a elevación de amilasa y lipasa séricas, elevación de amilasa en líquida ascítico por encima de 1000 U/L, tomografía axial computarizada abdominal que mostró páncreas con distorsión de su parénquima y múltiples colecciones. Se indicó manejo conservador con reposo de la vía oral, paracentesis y diuréticos.
Conclusiones: La ascitis pancreática es una entidad de presentación rara, debe ser sospechada en paciente con ascitis, pancreatitis y elevación de amilasa en líquido ascítico >1000 U/L.
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