Acute pancreatitis : a consideration of pancreatic hemorrhage, hemorrhagic, suppurative, and gangrenous pancreatitis, and of disseminated fat-necrosis : the Middleton-Goldsmith lecture for 1889 / by Reginald H. Fitz.

  • Reginald Heber Fitz
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Acute pancreatitis : a consideration of pancreatic hemorrhage, hemorrhagic, suppurative, and gangrenous pancreatitis, and of disseminated fat-necrosis : the Middleton-Goldsmith lecture for 1889 / by Reginald H. Fitz. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ACt^TK PAXCUKATITIS. A rONKIDKKATlON’ OK I* ANTHKATH' HKMuKRlI A<;K, HKMOnKHA«ilC, SUPITHATIVK, AX II OAX'- OKKNOIJS J'AXrKK ATITIH, AX'l> OK 111 -HS K M IX A T K t> K A T-X K< ’ KOS IS.* HV RKOI.VAI.D H. Ktrz, M. D.. Skatiuti Profwor Pniholoaifal .ItuUomt/ in Hnrrard VuirmtiVI and PhuBician to Vtt Ma$*aeknteiU Ofntrtd Hospital. Until, tho time of Classen* the evidem^e of an OL-uU* inHummation of tlie juinen'as Wiis almost wholly theori'tieal. ami was not c<introlle<I by any consitlonible nmnlH'r of anaUnnioal oliservations. Mercury wivs known to jmalnce salivation, ami the waU'ry iliarrluea following its use was supiKised to lie due to irritation of the ]«im*r»>as. IntluencA‘d by this and other considerations, Schnmckpfeffer • having found certain alt#‘ration.s of the jiancreas in a syphilitic woman who had lieen lilH*nilly treated with inercury, attributed her symptoms to the ]iancreatic changes. The latter he n*g-arded as anatomical evidem-e of an acute inilamination. He deta-rilH's ^ these chang(!8 as follows: “ The juiiicreas was uniLsnally densw>, dry, .and very much swollen; it was iiiHamml and red tlinmghoiit, although mow in the right tlian in the left side. IS'umerous drop.s of bloml esca|Kid from the cut surface. The duct was very much dilated, esjH'cially at its mouth. The gland weighed five and three-sjuarter ounces. 1 Tlie MiO<Ilet«ti (ioldfinlth Lnctiir.* fur ISKU, delivered before tlie New York I'atbolotrlcal Sucle'y. Koli. IC, I.SUU. * Ilie Knuikh. d. Jtauctu>i>e dr., 1S42. 3 Inen<t. dequibuvd. Ceucrt^ii Murbiit, iS17, 2G.