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January 11, 1902

CASE OF ACUTE PANCREATITIS WITH FAT NECROSIS—OPERATION—RECOVERY.

JAMA. 1902;XXXVIII(2):107. doi:10.1001/jama.1902.62480020037002

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Abstract

J. C., male, aged 59, American, was admitted to St. Mary's Hospital on June 11, 1901, with the following history:

For two years he had suffered from attacks of indigestion and at times had refrained from eating for twenty-four hours or more to obtain relief. While able to attend to his professional duties during this time, he lost 25 pounds in weight.

On June 4, was suddenly seized with agonizing pain in the epigastrium, accompanied by marked symptoms of collapse, requiring anodynes and vigorous stimulation. Vomiting and retching were frequent. The abdomen became greatly distended and symptoms of acute obstruction of the bowels developed. June 5 and 6 the condition remained about the same, temperature ranging from 100 to 102, pulse from 96 to 120. Hiccough became most distressing.

The bowels acted slightly as a result of purgation and enemata but without relief to the abdominal distention. Beginning on June

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