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High serum albumin ascites gradient ascites--an atypical presentation of metastatic pancreatic cancer.

Mil Med. 2012 Sep;177(9):1117-8

Authors: Fincher RK, Green RH


Pancreatic adenocarcinoma has less than a 5% 5-year survival rate, and metastatic disease is associated with a median survival of 4.5 months. A typical presentation often includes evidence of biliary obstruction, abdominal pain, jaundice, and weight loss. Significant ascites is not commonly seen at initial presentation and, when present, is typically associated with a low serum albumin ascites gradient (SAAG). We discuss a patient who presented with high-SAAG ascites as her initial presentation, only to be later diagnosed with metastatic pancreatic adenocarcinoma.

PMID: 23025146 [PubMed - in process]