Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Dec 13;13(12):e235986.
doi: 10.1136/bcr-2020-235986.

Complete resolution of acute pancreatitis-induced chylous ascites following transhepatic portal vein stenting

Alexander Tindale  1 , James Jackson  2 , Darina Kohoutova  3 , Panagiotis Vlavianos  2
Affiliations
Case Reports

Complete resolution of acute pancreatitis-induced chylous ascites following transhepatic portal vein stenting

Alexander Tindale et al. BMJ Case Rep. .

Abstract

We introduce a case of a 73-year-old man who developed intractable chylous ascites due to portal vein compression as a result of peripancreatic inflammatory changes after acute biliary pancreatitis. After stenting the portal vein stenosis, the chylous ascites improved from requiring weekly paracentesis to requiring no drainage within 4 months of the procedure and at the 15-month follow-up. To our knowledge, it is the first case reported in the literature where portal vein stenting has successfully been used to treat pancreatitis-induced chylous ascites.

Keywords: GI-stents; interventional radiology; pancreatitis.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Triple-phase CT scan demonstrating compression of the portal vein at the confluence (red arrow) and large-volume chylous ascites.
Figure 2
Figure 2
Initial venography showing main portal vein stenosis (red arrow).
Figure 3
Figure 3
Venography post Wallstent insertion showing resolution of antegrade flow.
Figure 4
Figure 4
Subsequent CT scan confirming resolution of portal vein compression 2 weeks after stent insertion.
See this image and copyright information in PMC

References

    1. Park DE, Chae KM. Chylous ascites caused by acute pancreatitis with portal vein thrombosis. J Korean Surg Soc 2011;81 Suppl 1:S64–8. 10.4174/jkss.2011.81.Suppl1.S64 - DOI - PMC - PubMed
    1. Cárdenas A, Chopra S. Chylous ascites. Am J Gastroenterol 2002;97:1896–900. 10.1111/j.1572-0241.2002.05911.x - DOI - PubMed
    1. Al-Busafi SA, Ghali P, Deschênes M, et al. . Chylous ascites: evaluation and management. ISRN Hepatol 2014;2014:1–10. 10.1155/2014/240473 - DOI - PMC - PubMed
    1. Steinemann DC, Dindo D, Clavien P-A, et al. . Atraumatic chylous ascites: systematic review on symptoms and causes. J Am Coll Surg 2011;212:899–905. 10.1016/j.jamcollsurg.2011.01.010 - DOI - PubMed
    1. Baban CK, Murphy M, O'Sulleabháin C, et al. . Chylous ascites as a consequence of idiopathic pancreatitis. BMJ Case Rep 2014;2014. 10.1136/bcr-2013-200132. [Epub ahead of print: 05 Feb 2014]. - DOI - PMC - PubMed

Publication types