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Article
July 1953

HEMORRHAGIC ASCITES AND HEMOTHORAX ASSOCIATED WITH BENIGN PANCREATIC DISEASE

Author Affiliations

ST. LOUIS
From the Department of Surgery, Homer G. Phillips Hospital.

AMA Arch Surg. 1953;67(1):52-56. doi:10.1001/archsurg.1953.01260040055008
Abstract

IN PANCREATIC diseases the presence of bloody fluid in the peritoneal and pleural cavities is usually indicative of hemorrhagic pancreatitis or carcinoma of the pancreas with metastases. There are numerous reports in the literature of hemorrhagic ascites in hemorrhagic pancreatitis1; however, thorough search of the literature revealed no reported cases of hemorrhagic ascites associated with chronic pancreatitis and pseudocysts of the pancreas. Werner2 reported a case of hemothorax associated with chronic recurring pancreatitis. The two cases reported herein are unusual in that they were associated with neither hemorrhagic pancreatitis nor carcinoma.

REPORT OF CASES 

Case 1.  —A L., a Negro woman aged 30, came under my observation on Aug. 12, 1952, complaining of nausea, vomiting, diarrhea, severe upper abdominal pain, moderate abdominal enlargement, and a weight loss of approximately 25 lb. (11.3 kg.).

Past History.  —Five months prior to this admittance she was hospitalized on the gynecological

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