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November 2, 1895


JAMA. 1895;XXV(18):774. doi:10.1001/jama.1895.02430440042005

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One of the most interesting points in connection with instances of acute inflammatory affections of the pancreas is their frequent association with the condition which was first described by Balser ( Virch. Archiv., Bd. 90, 1882) as disseminated fat necrosis. The opinions that at present obtain, concerning the causes of these changes in the fat tissue are succinctly stated by Thayer in connection with the report of a successful operation for pancreatitis and parapancreatic abscess (American Journal of Medical Sciences, October, 1895). This case is really a very important one from a clinical standpoint, because it shows the possibility and importance of an early diagnosis and operation in acute pancreatitis. It is the first case recorded in which the diagnosis has been followed by a successful operation. Since the publication of the researches of Fitz on acute pancreatitis (Boston, 1889; also Boston Med. and Surg. Journal, 1889) in which he studied

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