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Unusual Sequelae in 100 Cases

Cdr William M. Lukash, MC

AMA Arch Surg. 1967;94(6):848-852.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

UNUSUAL clinical features may develop in the course of pancreatitis. They may not only confirm an already established diagnosis, but also arouse the first suspicion of acute pancreatitis.

Complications and systemic involvement in pancreatitis can result from local suppuration and enzymatic activity on contiguous organs, or affect remote sites as a result of circulatory enzymes released from the gland. Local complications of obstructive jaundice and pseudocyst are well known, but less apparent are the infrequent peripancreatic inflammatory reactions causing massive ascites, splenic rupture, and colonic lesions. In addition to the typical picture of diabetes and exocrine deficiency seen with chronic pancreatitis, other unusual endocrine and metabolic complications may occur. Pulmonary involvement is seen in as high as 30% of the patients. Gastrointestinal hemorrhage and hematologic problems of hypercoagulability and hemolysis have been associated with this disease. An unusually high incidence of neuropsychiatric disturbances has been noted in patients with acute . . . [Full Text PDF of this Article]

Author Affiliations
USN, Bethesda, Md

From the Gastroenterology Section, Internal Medicine Service, US Naval Hospital, National Naval Medical Center, Bethesda, Md.

Footnotes
Submitted for publication Jan 30, 1967.

The opinions or assertions contained herein are the private ones of the writer and are not to be construed as official nor as reflecting the views of the Bureau of Medicine and Surgery of the Navy Department, or the naval service at large.

Reprint requests to US Naval Hospital, National Naval Medical Center, Bethesda, MD 20014 (Dr. Lukash).

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