The Indigenous Young Man with Progressive Abdominal Distension

  • Wan Azfarudin Surgeon Trainee, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
  • Zamri Zuhdi Consultant HPB Surgeon, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
  • Affirul Chairil Ariffin Consultant Trauma and HPB Surgeon, Department of Surgery, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
  • Azlanudin Azman Consultant HPB Surgeon, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
  • Firdaus Hayati General Surgeon, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia
  • Razman Jarmin Senior Consultant HPB Surgeon, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Keywords: Pancreas, ascites, chronic pancreatitis, pseudocyst

Abstract

The incidence of pancreatic ascites is unusual. It is uncommon sequelae of chronic pancreatitis. Smith first discovered it in 1953 in the literature. The etiology includes chronic pancreatitis, pancreatic pseudocyst, pancreatic trauma and idiopathic in origin. Despite a rise in the incidence, it is scarcely reported. This is a case of a 20-year-old man presented with repeated acute pancreatitis episode complicated with gross ascites. Pancreatic duct stones were identified intra-operatively. Frey’s surgery was the procedure of choice. We discuss the presentation, choice of treatment and outcome.

Author Biographies

Wan Azfarudin, Surgeon Trainee, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Zamri Zuhdi, Consultant HPB Surgeon, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Affirul Chairil Ariffin, Consultant Trauma and HPB Surgeon, Department of Surgery, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
Department of Surgery, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
Azlanudin Azman, Consultant HPB Surgeon, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Firdaus Hayati, General Surgeon, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia
Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Malaysia
Razman Jarmin, Senior Consultant HPB Surgeon, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia

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Published
2017-12-22