Abstract
A 64-year-old male was admitted to our hospital with the chief complaint of severe abdominal distension. Abdominal CT findings showed massive ascites due to a non-malignant pancreatic disease. Amylase and protein in ascitic fluid were high level.
From the above results, pancreatic ascites was suspected and he was treated with conservative therapy. On day 16, endoscopic retrograde pancreatography revealed transudation of contrast medium from the pancreatic duct. A pancreatic duct stent was placed, but he was complicated with bacterial peritonitis on day 23. The peritonitis was gradually improved by antibiotics and ascites drainage. The ascites disappeared in the CT before discharge. Thereafter we removed a pancreatic duct stent discharge 40 days later, he has now been in good health without a recurrence.
