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Case of Chronic Pancreatitis Complicated Pancreatic Ascites and Pleural Effusion.

Journal of the Korean Pediatric Society 1987;30(1):108-113.
Published online January 31, 1987.
Case of Chronic Pancreatitis Complicated Pancreatic Ascites and Pleural Effusion.
Gye Ja Lee, Yong Aee Chun, Hey Sun Lee, Yong Mi Hong, Young Min Ahn
Department of Pediatrics, Gang Nam General Hospital, Public Corporation
소아에서 발견된 혈성 췌장성 복수와 늑막삼출액을 동반한 만성 췌장염 1례
이계자, 전용애, 이혜선, 홍영미, 안영민
지방공사 강남병원 소아과
Abstract
A case of pancreatic ascites and pleural effusion as complication of chronic pancreatitis in the twelve-year-old boy was reported. He was admitted to the pediatric ward with chief complaints of abdominal pain and abdominal distension. He has been apparently well until one month prior to admission, when he began to feel intermittent abdominal pain and dyspnea and his abdomen was progressively distended. Serosanguinous fluid was drained by thoracentesis and paracentesis. Serum, ascites and pleural fluid amylase was 707,781,720 u/dl, respectively. Dyspnea was aggravated despite of repeated thoracentesis and medical therapy. On the fourth hospital day, exploraparotomy was performed. About 4,000 cc of bloody ascites was drained and hemorrhagic change in pancreatic tail was found. Ascites and pleural effusion were drained with Sump drain and chest tube and abdominal distension and pain were markedly relieved. On the tenth postoperative day, no more fluid was drained.
Key Words: Pancreatic ascites and pleural effusion, Amylase.


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