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Complete resolution of acute pancreatitis-induced chylous ascites following transhepatic portal vein stenting
  1. Alexander Tindale1,
  2. James Jackson1,
  3. Darina Kohoutova2 and
  4. Panagiotis Vlavianos1
  1. 1Department of Gastroenterology, Imperial College Healthcare NHS Trust, London, UK
  2. 2Royal Marsden Hospital NHS Trust, London, UK
  1. Correspondence to Dr Alexander Tindale; alexander.tindale{at}gmail.com

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.

  • GI-stents
  • pancreatitis
  • interventional radiology

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Footnotes

  • Contributors AT: As corresponding author, I was involved in the care of the patient and wrote the article, with input from the three other authors who were senior clinicians involved in the procedures and care of the patient. JJ: Senior clinician (radiologist) involved in the procedures and care of patient who helped with drafting and critiquing the article. Also chose the CT images which best captured the clinical scenario. DK: Senior registrar caring for the patient who helped to write and critique the article, and choose the images of venography. PV: Consultant in charge of the patient and the article. Gave feedback on several drafts of the article and rewrote passages. Performed the index procedure with JJ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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