THE DIABETIC COMA OF ACUTE PANCREATITIS
Authors: G T TULLY, J J LOWENTHAL
Journal: Annals of Internal Medicine (1958)

Article1 February 1958THE DIABETIC COMA OF ACUTE PANCREATITISGEORGE T. TULLY, M.D., JOSEPH J. LOWENTHAL, M.D.GEORGE T. TULLY, M.D.Search for more papers by this author, JOSEPH J. LOWENTHAL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-2-310 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONSeven cases of diabetic coma associated with acute pancreatitis have been observed at the Duval Medical Center during the last year. As the body of knowledge about this disease state has grown, we feel that there are certain specific characteristics by which it can be recognized.Root1 in 1937 described four cases. Schumaker2 analyzed the literature and reported 25 cases in which diabetic coma occurred during an acute stage of pancreatic inflammation. Other reports list 29 additional cases.3, 4, 5, 20-26There are numerous references to diabetic states following pancreatic necrosis.6, 7, 8, 9We hope to demonstrate that...Bibliography1. Root HF: Diabetic coma and acute pancreatitis with fatty livers, J. A. M. A. 108: 777, 1937. CrossrefGoogle Scholar2. Schumaker HB: Acute pancreatitis and diabetes, Ann. Surg. 112: 177, 1940. CrossrefMedlineGoogle Scholar3. Caldwell RK: Diabetes mellitus following acute pancreatic necrosis, New England J. Med. 251: 228, 1954. CrossrefMedlineGoogle Scholar4. WarrenFallisBarron KWLSJ: Acute pancreatitis and diabetes, Ann. Surg. 132: 1103, 1950. CrossrefMedlineGoogle Scholar5. FoordBowen AGBD: Acute interstitial pancreatitis in two cases of diabetic coma, Am. J. M. Sc. 180: 676, 1930. CrossrefGoogle Scholar6. DeTakatsMacKenzie GWD: Acute pancreatic necrosis and its sequelae, Ann. Surg. 96: 418, 1932. CrossrefMedlineGoogle Scholar7. PolayesLinderRothenberg SHWRE: Pancreatic necrosis, J. A. M. A. 100: 1155, 1933. CrossrefGoogle Scholar8. GambillBaggenstossVanPatterPower EEAHWGMH: Acute hemorrhagic pancreatitis, Gastroenterology 11: 371, 1948. MedlineGoogle Scholar9. EskwithCacaceSollosy ISVAA: Acute hemorrhagic pancreatitis: treatment with cortisone, New England J. Med. 252: 494, 1955. CrossrefMedlineGoogle Scholar10. Van Itallie TB: Glucagon, physiologic and clinical considerations, New England J. Med. 254: 794, 1956. CrossrefMedlineGoogle Scholar11. AaronMilch AHE: Acute pancreatitis, M. Clin. North America 40: 451, 1956. CrossrefMedlineGoogle Scholar12. ElliotZollingerMooreEllison DWRMREH: The use of human serum albumin in the management of acute pancreatitis, Gastroenterology 28: 563, 1955. CrossrefMedlineGoogle Scholar13. Oppie EL: Relationship of cholelithiasis to disease of the pancreas, Am. J. M. Sc. 121: 27, 1901. CrossrefGoogle Scholar14. DoubiletMulholland HJH: Eight year study of pancreatitis and sphincterotomy, J. A. M. A. 160: 521, 1956. CrossrefMedlineGoogle Scholar15. DunphyBrooksAchroyd JEJRF: Acute postoperative pancreatitis, New England J. Med. 248: 445, 1953. CrossrefGoogle Scholar16. Animal experiments, Duval Medical Center, Jacksonville, Florida, unpublished. Google Scholar17. KepesLordFrenchVanderlinde JDGAEERJ: External pancreatic secretion, Gastroenterology 31: 190, 1956. CrossrefMedlineGoogle Scholar18. GibbsLogan WFVW: Diabetes mellitus, a study of one hundred forty-seven autopsies, Arch. Int. Med. 43: 371, 1929. Google Scholar19. SilerWulsinCarter VEJHN: Important clinical factors of acute pancreatitis, Surg., Gynec. and Obst. 100: 357, 1955. MedlineGoogle Scholar20. Rose TF: Pancreatitis at the Royal North Shore Hospital of Sydney from 1925 to 1950, M. J. Australia 2: 453, 1951. CrossrefMedlineGoogle Scholar21. BowersAtkins JZJL: Acute pancreatitis with diabetic acidosis occurring in the course of diabetes mellitus, Bull. School Med. Univ. Maryland 26: 234, 1942. Google Scholar22. IvyGibbs ACGE: Pancreatitis, a review, Surgery 31: 614, 1952. MedlineGoogle Scholar23. RichDuff ARGL: Experimental and pathological studies on the pathogenesis of acute hemorrhagic pancreatitis, Bull. Johns Hopkins Hosp. 58: 212, 1936. Google Scholar24. CullenFriedenwald TSJ: Acute and chronic pancreatitis, clinical observations, Arch. Surg. 15: 1, 1927. CrossrefGoogle Scholar25. Felsenreich F: Klinik der akuten und subakuten Pankreasnekrose, Arch. f. klin. Chir. 168: 307, 1932. Google Scholar26. Cabot Case 16282, New England J. Med. 203: 82, 1930. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Jacksonville, Florida*Received for publication April 24, 1957.Presented at the Southeastern Regional Meeting of the American College of Physicians, Nassau, British West Indies, October 20, 1956.Requests for reprints should be addressed to George T. Tully, M.D., Duval Medical Center, 2000 Jefferson Street, Jacksonville 8, Florida. 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SHUMAN, M.D., F.A.C.P.The Pancreas: Current Contributions of Clinical InterestPancreatic Surgery 1 February 1958Volume 48, Issue 2Page: 310-319KeywordsAcute pancreatitisBlood plasmaCalciumCholesterolComaDiarrheaHyperglycemiaHypoglycemiaInflammationPancreatitis ePublished: 1 December 2008 Issue Published: 1 February 1958 PDF downloadLoading ...