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A rare case of abscess of the pancreas and pancreatic calculosis, and a painless chronic pancreatitis, is presented.
Simultaneously, an abdominal fistula drained both duodenally and to the outside spontaneously, at the site of an old cholecystectomy scar, seventeen years after gall bladder surgery.
Diagnosis and therapy were made difficult and surgical intervention was discouraged because of severe complicating pathology of protracted diarrhea and diabetes, elusive etiology, absence of severe abdominal or epigastric pain, previous removal of gall bladder, and extreme debility.
Atypical symptomatology, pathologic and laboratory data, and post-mortem findings of liver abscesses, extensive pancreatic fibrosis, numerous calculi, and a residual pancreatic abscess cavity are described.
Diagnosis of abscess of the pancreas, delayed until autopsy, indicates one of the end results of chronic pancreatitis.
Liver abscess caused by thrombophlebitis of the portal vein was the actual cause of death.
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Received: July 21, 1952
© 1953 Published by Elsevier Inc.