A case of pancreatic ascites improved by endoscopic pancreatic stenting, during a course of mild acute pancreatitis

Abstract

A 64-year old man was admitted for mild acute pancreatitis. His recovery was unremarkable until abdominal pain recurred when oral feeding was initiated. Computed tomography (CT) revealed massive ascites with a high concentration of amylase. Endoscopic retrograde pancreatography (ERP) revealed pancreatic disruption and leakage. Endoscopic pancreatic stenting (EPS) led to improvement in symptoms and laboratory data. We report a rare case of pancreatic ascites presenting as an acute complication in mild acute pancreatitis.