Clinical Recognition
SYMPTOMS
PAINNAUSEA AND VOMITINGDIARRHEA, STEATORRHEAWEIGHT LOSSJAUNDICE
DIAGNOSTIC AIDS
ELEVATED SERUM AMYLASEGLUCOSE TOLERANCESTARCH TOLERANCESTOOL ANALYSISSECRETIN TESTX-RAY
CLINICAL FEATURES
IN 90 OPERATIVE CASES
ABDOMINAL PAIN—100%WEIGHT LOSS—94ALCOHOLIC ABUSE—56NARCOTIC USE—48PANCREATOLITHIASIS—41DIABETES MELLITUS—38JAUNDICE—25PANCREATIC CYSTS—25
X-RAY DATA
• EXCLUSION OF OTHER GASTROINTESTINAL DISEASE• DISTORTION OF DUODENUM• OBSTRUCTION OF PYLORUS OR DUODENUM• NARROWING OF INTRAPANCREATIC PORTION OF THE COMMON BILE DUCT• PANCREATOLITHIASIS
Illustrative Cases
CASE HISTORY
FEMALE—AGE 44ABDOMINAL PAIN 2 YEARSCHOLELITHIASIS, DIABETES MELLITUS, PANCREATOLITHIASISDISTAL PANCREATECTOMY. COMPLETE RELIEF FROM PAINRESECTION TONGUE AND RADICAL NECK DISSECTION FOR CARCINOMA (MARCH 1955)
CASE HISTORY
FEMALE—AGE 55ABDOMINAL EXPLORATION ELSEWHERE FOR ACUTE PANCREATITIS (1947)CONTINUOUS SYMPTOMSNARCOTIC USE, NO ALCOHOLDIABETES MELLITUS, PANCREATOLITHIASISPANCREATODUODENECTOMY MARCH 1951. COMPLETE RELIEF OF SYMPTOMSEXPIRED APRIL 1954. CAUSE UNKNOWN
CASE HISTORY
MALE—AGE 43ABDOMINAL PAIN