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July 1927


Author Affiliations

Professor of Clinical Gynecology, Johns Hopkins University; Professor of Gastro-Enterology, University of Maryland BALTIMORE

Arch Surg. 1927;15(1):1-29. doi:10.1001/archsurg.1927.01130190004001

PART I The diagnosis of many pancreatic conditions is so difficult that a large proportion of the cases reported in the literature were definitely diagnosed only at operation or autopsy. Hence it is certain that the incidence of these conditions is probably far greater than has been generally recognized. The difficulty in diagnosis is largely due to three facts: 1. The pancreas is so deeply situated that it is usually inaccessible to palpation. 2. It is impossible to obtain a secretion from it in a state sufficiently pure for purposes of examination. 3. These diseases are often associated with other disorders of the digestive tract the symptoms of which are so prominent that they mask those produced by the pancreatic lesion.

PART I It is our purpose in this communication to report briefly some of the cases of acute and chronic pancreatitis which have come under our observation. The following were cases

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