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ARTICLE |

CHRONIC RELAPSING PANCREATITIS

RICHARD B. CATTELL, M.D.; KENNETH W. WARREN, M.D.
AMA Arch Surg. 1956;72(3):544-552. doi:10.1001/archsurg.1956.01270210174029.
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ABSTRACT

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

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