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Open Transduodenal Stenting as an Option to Failed Endotherapy in Pancreatic Ascites

Keywords: Adult , Ascites /diagnosis/pathology/surgery , Cholangiopancreatography , Endoscopic Retrograde , Humans , Laparotomy , Male , Pancreatic Diseases /diagnosis/pathology/surgery , Pancreatic Ducts /pathology/surgery , Pancreatic Fistula /pathology/surgery , Pancreatic Pseudocyst , Pancreatitis , Alcoholic /diagnosis/pathology , Sphincterotomy , Transhepatic , Stents , Treatment Outcome

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Abstract:

CONTEXT: Pancreatic ascites is rare and thought to be due to rupture of a pancreatic pseudocyst, main pancreatic duct disruption or leakage from an unknown site. CASE REPORT: We report the case of a 33-year-old gentleman with a history of chronic alcoholic pancreatitis who presented with pancreatic ascites and was successfully treated with open transduodenal stenting and pancreatic and biliary sphincteroplasty. CONCLUSION: Open transduodenal stenting is an option to failed endotherapy in pancreatic ascites.

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