All issues > Volume 30(1); 1987

Case Report

J Korean Pediatr Soc. 1987;30(1):108-113. Published online January 31, 1987.

Case of Chronic Pancreatitis Complicated Pancreatic Ascites and Pleural Effusion.

Gye Ja Lee¹, Yong Aee Chun¹, Hey Sun Lee¹, Yong Mi Hong¹, Young Min Ahn¹

¹Department of Pediatrics, Gang Nam General Hospital, Public Corporation

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.

Keywords :Pancreatic ascites and pleural effusion, Amylase.