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Abstract
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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References
- Textbook of Surgery. W. B. Saunders Company, Philadelphia1945
- Subacute Pancreatitis (Pancreatic Abscess).Surg. Clin. 1919; 3: 1367
- Abscess of the Pancreas.Surg. Clin. 1919; 3: 1099
- Case of Pancreatic Abscess.Surg. Clin. 1917; 1: 561
- Drainage of Abscess of Pancreas.Ann. Surg. 1921; 74: 434
- Pancreatic Abscess Associated With Common Duct Stones.Pennsylvania M. J. 1929; 32: 426
- Chronic Pancreatic Abscess With Unusual Complications.Am. J. Surg. 1942; 57: 539-543
- Unusual Case of Pancreatic Abscess.J. Connecticut M. Soc. 1940; 4: 450
- Rupture of Liver Abscess Into Heptaic Vein Causing Sudden Death. Report of Case.J. Iowa M. Soc. 1948; 38: 447-448
- Pancreatic Calculosis.J. A. M. A. 1947; 135: 1055-1061
- Pancreolithiasis and Chronic Pancreatitis.J. A. M. A. 1947; 134: 20-21
Article info
Publication history
Received:
July 21,
1952
Identification
Copyright
© 1953 Published by Elsevier Inc.
