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Article
November 12, 1955

DIAGNOSTIC FEATURES OF PANCREATIC DISEASE

JAMA. 1955;159(11):1079-1085. doi:10.1001/jama.1955.02960280001001
Abstract

Acute inflammatory lesions of the pancreas commonly are misdiagnosed, and chronic pancreatic disorders frequently are unrecognized until late in their course of development. One factor contributing to this situation is a lack of sufficient awareness of the pancreas and its disorders. Another factor is a widespread impression that diagnostic approaches to the pancreas are sharply limited. This presentation is intended to indicate that the clinical, laboratory, and roentgenologic expressions of pancreatic disease are surprisingly many. It is hoped that a review such as this will serve to stimulate interest in the gland and the diseases affecting it. It is further hoped that with increased awareness of the pancreas and wider use of the diagnostic approaches, pancreatic diseases will be recognized oftener and earlier.

CLINICAL FEATURES 

Pain.—  Pain sensation is transmitted bilaterally from the pancreas along visceral afferent fibers accompanying the splanchnic nerves on both sides.1 In addition, pain may

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