DAVID B. SNOW, M.D.
The 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,1 hyperlipemia,2 pleural effusion,2 hemothorax,3 massive hemorrhage into peripancreatic tissue or in remote areas of the body with melena, hematemesis, hematuria, or even mediastinal or subcutaneous bleeding,2 retroperitoneal dissection into the pelvis,4 acute colonic obstruction,5 mechanical small-bowel obstruction due to fibrous bands,2 and perforation of the right colon.2
SNOW DB. EXTENSIVE FIBROPLASTIC PERITONITIS SECONDARY TO PROTRACTED ACUTE PANCREATITIS1. Ann Intern Med. ;41:1236–1245. doi: 10.7326/0003-4819-41-6-1236
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Published: Ann Intern Med. 1954;41(6):1236-1245.
Gastroenterology/Hepatology, Pancreatic Disease.
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