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March 5, 1960


Author Affiliations

Chief, Medical Service, 3902d USAF Hospital, and Clinical Assistant, Department of Internal Medicine, University of Nebraska School of Medicine (Captain Nelp), and Chief, Surgical Service, 3902d USAF Hospital, and Instructor in Surgery, University of Nebraska School of Medicine (Lieutenant Colonel Marshall). Captain Nelp is now assistant resident on the Osler Medical Service, Johns Hopkins Hospital, Baltimore 5, Md. Lieutenant Colonel Marshall is now at Mitchell Air Force Base, New York.

JAMA. 1960;172(10):1033-1036. doi:10.1001/jama.1960.63020100002008a

Although pancreatitis is not an uncommon precursor of pancreatic pseudocyst, it is usually the chronic or relapsing form of the disease which gives rise to cyst formation. It is rare for an initial attack of acute necrotizing pancreatitis to lead to the development of pseudocyst. In the following case the rapid development of a large pseudocyst in the wake of an initial attack of severe necrotizing pancreatitis produced almost complete gastric obstruction and required early surgical intervention.

Report of a Case  A 21-year-old man was brought to the hospital by ambulance. Forty-eight hours prior to admission he had had sudden cramping epigastric pain and nausea, which soon subsided. Five hours prior to admission he again developed sudden severe epigastric pain and a burning sensation, with vomiting. There was radiation of the pain to the middle of the back.His personal and family histories were unrevealing except for excellent general health.