Shock or Coma as the Predominant Manifestation of Painless Acute Pancreatitis
Authors: A. H. TOFFLER
Journal: Annals of Internal Medicine (1962)

Brief Communication1 October 1962Shock or Coma as the Predominant Manifestation of Painless Acute PancreatitisA. H. TOFFLER, M.D., H. M. SPIRO, M.D.A. H. TOFFLER, M.D.Search for more papers by this author, H. M. SPIRO, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-57-4-655 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAcute pancreatitis sometimes goes undetected when abdominal pain, persistent vomiting, or jaundice is absent. Although painless chronic pancreatitis has been well documented (1, 2), painless acute pancreatitis is much less frequently recognized. We have seen several patients in the past few years in whom the only manifestation of acute pancreatitis was shock. Review of autopsy records indicated that shock as the only manifestation of acute pancreatitis had not been noted before. It is the purpose of this report, therefore, to emphasize that shock or coma, appearing to result from a myocardial infarct, diabetic coma, or cerebrovascular accident, may be the...References1. BARTHOLOMEWCOMFORT LGMW: Chronic pancreatitis without pain. Gastroenterology 31: 727, 1956. CrossrefMedlineGoogle Scholar2. GAMBILLGROSS EEJB: Atypical pancreatitis, report of six cases. Gastroenterology 40: 627, 1961. CrossrefMedlineGoogle Scholar3. ENQUISTGLIEDMAN IFML: Gross autopsy findings in cases of fatal acute pancreatitis. Arch. Surg. 77: 985, 1958. CrossrefGoogle Scholar4. WILLIAMS G: Acute pancreatic necrosis as a cause of sudden death. Brit. Med. J. 1: 1184, 1954. CrossrefMedlineGoogle Scholar5. BERMANDUNNSTRACHLEY LGFCJ: Survey of pancreatitis—Central New York Surgical Society. Gastroenterology 40: 94, 1961. CrossrefGoogle Scholar6. DONHAUSERBIGELOW JLNH: Atypical symptom-sign complex of acute pancreatitis. Amer. J. Surg. 96: 61, 1958. CrossrefMedlineGoogle Scholar7. POLLACK AV: Acute pancreatitis. Brit. Med. J. 1: 6, 1959. CrossrefMedlineGoogle Scholar8. PAXTONPAYNE JRJH: Acute pancreatitis. Surg. Gynec. Obstet. 86: 69, 1948. MedlineGoogle Scholar9. BOCKUSKALSERROTHBOGOCHSTEIN HLMHJLALG: Clinical features of acute inflammation of the pancreas. Arch. Intern. Med. 96: 308, 1955. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New Haven, ConnecticutFrom the Department of Internal Medicine, Yale University School of Medicine.The observations in this study were supported by grants C-2578, A-5100, A-3473, and A-1785 of the United States Public Health Service.Requests for reprints should be addressed to Howard M. Spiro, M.D., Department of Internal Medicine, Yale University School of Medicine, 333 Cedar Street, New Haven 11, Connecticut. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited BySudden natural death masquerading as accidental death – a case reportPostmortem diagnosis of acute haemorrhagic pancreatitisAcute haemorrhagic pancreatitis – A case of sudden deathDiagnostic Dilemma of Sudden Deaths Due to Acute Hemorrhagic PancreatitisMulticentre audit of death from acute pancreatitisIncidence, Mortality Rate and Underdiagnosis of Acute PancreatitisAcute Pancreatitis: ComplicationsAcute Pancreatitis: DiagnosisPrevalence and prediction of multiple organ system failure and mortality in acute pancreatitisDeath due to acute pancreatitisThe ultrastructure of the liver in acute experimental pancreatitis in dogsAcute and chronic pancreatitisHemorrhagic pancreatitisLethal pancreatitis: A diagnostic dilemmaPrognosis of Acute PancreatitisClinical Manifestations of Acute PancreatitisChronic relapsing pancreatitis, encephalopathy with disturbance of consciousness, and CSF amino acid aberrationPancreatitis in childhoodPhenformin and PancreatitisLAWRENCE M. RYAN, M.D., PAUL HANKWITZ, M.D., MICHAEL BANASIAK, M.D.Akute PankreaserkrankungenEthanol and Chronic Calcifying PancreatitisChronic Calcifying Pancreatitis—Chronic Alcoholic PancreatitisGastrointestinal Manifestations of Diabetes MellitusA CASE OF TRANSIENT DIABETES MELLITUS IN CONNECTION WITH ACUTE PANCREATITISX-ray therapy for acute pancreatitisAcute Pancreatitis and HypoglycemiaDisorders of ConsciousnessGastrointestinal Manifestations of DiabetesMechanism and treatment of shock associated with acute pancreatitisThe differential diagnosis of coronary artery disease and gastrointestinal disorders∗ 1 October 1962Volume 57, Issue 4Page: 655-659KeywordsAcute pancreatitisChronic pancreatitisComaMedical servicesMyocardial infarctionObservational studiesPancreatitisShockStrokeVomiting Issue Published: 1 October 1962 PDF DownloadLoading ...