ULTRASOUND AT MEDIC DETECTS A BIG AMOUNT OF ASCITES, NO CARDIO- PLEURAL EFFUSION, LIVER, KIDNEY ARE NORMAL AND NO ABDOMINAL MASS. ASCITES IS IN CLOUDY APPEARANCE.
It is free ascites no septation, mesentery moving freely in the fluid.
ABDOMEN TAP: ASCITES IS YELLOW IN COLOR. ANALYSIS IS.. POSITIVE RIVALTA, ADA=16,3 UI/L, CA-125 MORE >1000U/mL.
BLOOD TESTS: ANA, LE-CELL NEGATIVE, BLOOD CA-125=583 UI/mL.
THIS CASE WAS ADMITED IN EMERGENCY BY CHILDREN n0.1 HOSPITAL.
CT SCAN OF ABDOMEN SHOWED DILATATION OF WIRSUNG DUCT, SUSPECTING
PANCREATITIS, AND CONFIRMED BY VERY HIGH BLOOD AMYLASE TEST.
SUMMARY: DIAGNOSING OF ASCITES MUST FOLLOW THE GUIDING CHART OF CHECK
LIST. A RARE CAUSE OF ASCITES LOOKS LIKE CHRONIC PANCREATITIS IS EASILY DIAGNOSIS IF AMYLASE IN LIST FOR ANALYSING.
CT SCAN OF ABDOMEN SHOWED DILATATION OF WIRSUNG DUCT, SUSPECTING
PANCREATITIS, AND CONFIRMED BY VERY HIGH BLOOD AMYLASE TEST.
SUMMARY: DIAGNOSING OF ASCITES MUST FOLLOW THE GUIDING CHART OF CHECK
LIST. A RARE CAUSE OF ASCITES LOOKS LIKE CHRONIC PANCREATITIS IS EASILY DIAGNOSIS IF AMYLASE IN LIST FOR ANALYSING.
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