March 1965

The Significance of Jaundice In Acute Pancreatitis

Author Affiliations

From the Cedars of Lebanon Division, Cedars-Sinai Medical Center.

Arch Surg. 1965;90(3):422-426. doi:10.1001/archsurg.1965.01320090100023

I. Introduction  COMPLICATIONS which arise during the management of acute pancreatitis are numerous and complex. One particular problem is the coincidental presence of jaundice. From the files of the Los Angeles County Hospital, 300 autopsy records containing the diagnosis of acute pancreatitis were examined. Seventy-five (25%) of this group were found to have been jaundiced. The icterus was either recorded during the clinical course or the postmortem examination.

II. Findings With Comment 

The Obstructed Group.  —Obstruction of the common bile duct was the cause of jaundice in 31 or 41.3% of the 75 cases of acute pancreatitis with jaundice. Of these, 19 were due to calculi impacted in the choledochus or ampulla; ten were due to encroachment on the common bile duct by enlargement of the inflamed head of the pancreas; one was due to a carcinoma of the head of the pancreas; and one was the result of a

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