Which of the following is false about pancreatic ascites?
Select Your Answer:
Most cases of pancreatic ascites are due to rupture of the duct from a pancreatic pseudocyst.
If the duct ruptures posterior, secretions leak into retroperitoneum. Ascitic fluid is not painful but may be associated with abdominal distension.
Diagnosis can be made by aspiration of fluid and analyzing for amylase. Both CT scan and ECRP can be used to confirm the diagnosis of pancreatic duct rupture.
Treatment of pancreatic ascites requires no oral intake of food, TPN, and somatostatin for a few weeks. If no improvement is seen, ERCP can be used to stent the duct.
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