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November 1957

Pancreatic Pseudocvsts and Fistulae: Pseudocyst and Fistula Following Blunt Trauma Treated by Internal Drainage

Author Affiliations

U. S. A. F.; U. S. Army
Resident, General Surgery (Captain Newton); Chief, Department of Surgery (Colonel Nichol), Brooke Army Hospital, Brooke Army Medical Center, Fort Sam Houston, Texas.

AMA Arch Surg. 1957;75(5):838-842. doi:10.1001/archsurg.1957.01280170148050

Pancreatic pseudocysts and fistulae are not common; however, they are seen on occasion by civilian and military physicians who deal with trauma. Because of the complex problems of management and the small number of case reports in the literature, it is felt that the following case merits presentation.

Report of a Case  A 27-year-old soldier, stationed in Japan, was kicked in the upper part of the abdomen during an altercation while under the influence of alcohol. He suffered no apparent injury and went to bed, only to awaken six hours later with epigastric pain, nausea, and vomiting. He was admitted to a station hospital, where he was found to be afebrile, with localized epigastric tenderness but no rebound tenderness. His white blood cell count was 15,000 per cubic millimeter with a marked shift to the left, and his serum amylase was normal. During the next two days the abdominal tenderness

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