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Article
January 27, 1906

A CASE OF CARCINOMA OF THE PANCREAS.WITH NEGATIVE SO-CALLED PANCREATIC REACTION; CHOLECYSTENTEROSTOMY.

Author Affiliations

Surgeon to Finley and St. Joseph's Mercy Hospitals. DUBUQUE, IOWA.

JAMA. 1906;XLVI(4):275-277. doi:10.1001/jama.1906.62510310037004
Abstract

In a series of 53,000 cases of carcinoma collected from European institutions, in which careful postmortem records are kept, there were 226 cases of carcinoma of the pancreas, or 4.2 cases in every 1,000 cases of carcinoma of all organs. In the following case, in spite of repeated trials and a positive diagnosis, the so-called pancreatic reaction of Cammidge was negative. In the course of an exploratory laparotomy cholecystenterostomy was performed to relieve distress from absorption of bile and pain due to pressure of distention of the bile tract and accomplished the purpose.

Patient.  —D. A., farmer, 58 years old, married, born in England, residence Bloomington, Wis., was referred to me June 26, 1905, by Dr. J. M. Lewis of the same place.

Family History,  —Negative, except that his father died of "stomach trouble."

Previous History.  —In this the only conspicuous features are sciatic rheumatism, so-called, from time to time

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