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
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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![MirniOI) OK OKHilN. Aoutc ])ancivatitis commonly originates by the extension of a gastro-duodenal intlammation along the ])ancr(!atic duct. It may also be induced by the occurrence of hemorrhage in the pancreas. This may be of traumatic origin, although usually arising from unknown causes. The ])ancreatic hemorrhage may likewise bt‘ secondary to inllamma- tioTi of the pancreas. KATIlOLOOrCAL ANATOM V. The anatomical varieties arc the suppurative, liemorrhagic, and gangrenous. The first may be acute, but is usually subacute or chronic. The second is generally peracute or apofdectiforni. The gangrenous variety runs an acute course. Su})purative ]iancrt*atitis may residt in an evacua- tion of the ab.scesses into tin* stomach or duodenum. Or they may open into the cavity of the great omentum, which, transformed into alarge jau-itoneal abscess, may, in turn, oi)en into the digestive, tract. J’vleidilebitis and abscesses of the liver mav follow. Disseminated fat-necrosis is comi)aratively infre- (jiient. Hemorrhagic pancreatitis usually proves fatal in from two to four days. The gross lesions are then those of hemorrhage within and near the pancreas, extending into the subperitoneal fat- tissue, perha])s as far as the })elvis. IVripancrea- titis may be expected, and disseminated fat-necrosis is common. Gangrenous ])ancreatitis, although it may be secondary to a perforating inflammation of the gastro-intestinal or biliary tracts, usually results from a hemorrhagic ])ancreatitis, and ])rov«*s fatal in the course of a few weeks. The gangrenous ])i’ocesses extend to the parajiancreatic tissue, and })roduce more or less eom})lete se(piestration of the pancreas. The peritoneal wall of the omental cav- ity becomes inflamed, that covering the pancreas may be destroyed, and the sequestrated gland may lie in the omental cavity, soaked in pus, and attached oidy by a few shreds. Doth pus and pan-](https://iiif.wellcomecollection.org/image/b22309032_0090.jp2/full/800%2C/0/default.jpg)
