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NADİR BİR ASİT NEDENİ: KRONİK PANKREATİT

A rare cause of ascites: chronic pancreatitis

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Abstract (2. Language): 
Pancreatic ascites is a rare clinical entity, which causes increase of intraperitoneal fluid and needs to be differentiated from the reasons such as cirrhosis, tuberculosis and malignancy. Less than 250 cases that revealed ascites related to chronic pancreatitis are described up to date. A 7-year-old boy was admitted to our department with a history of abdominal distension. He experienced a blunt abdominal trauma three months before admission and following represented abdominal pain attacks since then. Growth and development course were normal and physical examination showed no pathologic findings except ascites. Chronic pancreat t s secondary to trauma was cons dered w th the help of cl n cal findings and laboratory data. Being a rare clinical entity, pancreatic ascites is discussed from the point of diagnosis and treatment.
Abstract (Original Language): 
Pankreatik asitler, periton içi sıvı artışı yapan siroz, tüberküloz ve maligniteye bağlı diğer nedenlerden ayırıcı tanısı gereken nadir bir klinik antitedir. Uluslararası literatürde bu güne kadar kronik pankreatite bağlı asit gelişen 250'den az vaka tanımlanmıştır. Bir aylık karın şişliği öyküsü ile hastanemize getirilen 7 yaşındaki erkek çocukta, 3 ay önce karına künt travma ve bunu takip eden hafif karın ağrısı atakları tanımlanıyordu. Büyüme ve gelişmesi normal, fizik muayenesinde asit dışında başka bir patolojik ek bulgusu olmayan hastanın klinik ve laboratuar bulguları neticesinde travmaya sekonder kronik pankreatit düşünüldü. Pankreatik asidin nadir bir klinik antite olması nedeniyle ayırıcı tanı ve tedavi açısından tartışılması uygun görüldü.
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