EXTENSIVE FIBROPLASTIC PERITONITIS SECONDARY TO PROTRACTED ACUTE PANCREATITIS
Authors: D B SNOW
Journal: Annals of Internal Medicine (1954)

Case Reports1 December 1954EXTENSIVE FIBROPLASTIC PERITONITIS SECONDARY TO PROTRACTED ACUTE PANCREATITISDAVID B. SNOW, M.D.DAVID B. SNOW, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-41-6-1236 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe clinical and pathologic picture presented by acute hemorrhagic pancreatitis may be extremely variable. Frequently listed among the protean manifestations of the disease are paralytic ileus, shock, hypocalcemia (occasionally to the point of tetany), hemorrhagic ascites, and abdominal masses (pseudocysts or abscesses). Reported more rarely are severe diabetes mellitus early in an attack,1hyperlipemia,2pleural effusion,2hemothorax,3massive hemorrhage into peripancreatic tissue or in remote areas of the body with melena, hematemesis, hematuria, or even mediastinal or subcutaneous bleeding,2retroperitoneal dissection into the pelvis,4acute colonic obstruction,5mechanical small-bowel obstruction due to fibrous bands,2and perforation of the right colon.2...Bibliography1. Caro DB: An unusual case of acute pancreatitis, Brit. M. J. 1: 1070, 1952. CrossrefMedlineGoogle Scholar2. Coffey RJ: Unusual features of acute pancreatic disease, Ann. Surg. 135: 715, 1952. CrossrefMedlineGoogle Scholar3. Smith EB: Hemorrhagic ascites and hemothorax associated with benign pancreatic disease, Arch. Surg. 67: 52, 1953. CrossrefGoogle Scholar4. : Pancreatitis with fat necrosis and retroperitoneal dissection into the pelvis, New England J. Med. 245: 614, 1951. MedlineGoogle Scholar5. MilnBarclay DCTH: Acute colonic obstruction due to pancreatitis, Lancet 2: 168, 1952. CrossrefMedlineGoogle Scholar6. GambillBaggenstossVan PatterMarchelle EEAHWGHP: Acute hemorrhagic pancreatitis; study of a patient having disseminated fat necrosis, hypocalcemia, uremia, diabetes mellitus, and bilateral hydrothorax, Gastroenterology 11: 371, 1948. MedlineGoogle Scholar7. McCorkleGoldman HL: The clinical significance of the serum amylase test in the diagnosis of acute pancreatitis, Surg., Gynec. and Obst. 74: 439, 1942. Google Scholar8. PaxtonPayne JRJH: Acute pancreatitis: a statistical review of 307 established cases of acute pancreatitis, Surg., Gynec. and Obst. 86: 69, 1948. MedlineGoogle Scholar9. EdmondsonBerneHomannWertman HACJREM: Calcium, potassium, magnesium, and amylase disturbances in acute pancreatitis, Am. J. Med. 12: 34, 1952. CrossrefMedlineGoogle Scholar10. OlanderGlennMoyPuestow GAEEGCB: Persistent elevation of serum amylase in acute pancreatitis; report of five cases, Surg., Gynec. and Obst. 94: 334, 1952. MedlineGoogle Scholar11. Machella TE: Acute and chronic pancreatitis, Veterans Admin. Tech. Bull. 10-87: 1953. Google Scholar12. Raffensperger EC: Elevated serum pancreatic enzyme values without primary intrinsic pancreatic disease, Ann. Int. Med. 35: 342, 1951. LinkGoogle Scholar13. Karsner HT: Human pathology, 1949, J. B. Lippincott Co., Philadelphia, p. 600. Google Scholar14. Popper H: The pathological aspects of pancreatic disease, Rev. Gastroenterol. 19: 183, 1952. MedlineGoogle Scholar15. KenwellWells HNPB: Acute hemorrhagic pancreatitis: report of 11 consecutive cases treated with human serum albumin, Surg., Gynec. and Obst. 96: 169, 1953. MedlineGoogle Scholar16. StephensonPfefferSaypol HERBGM: Acute hemorrhagic pancreatitis; report of a case with cortisone therapy, Arch. Surg. 65: 307, 1952. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication March 12, 1954.From the Medical Service, Veterans Administration Hospital, Boston, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Pancreas 1 December 1954Volume 41, Issue 6Page: 1236-1245KeywordsAbscessesAcute pancreatitisAscitesDiabetes mellitusHemorrhageHypocalcemiaMedical servicesPancreatitisPeritonitisShock ePublished: 1 December 2008 Issue Published: 1 December 1954 PDF downloadLoading ...