Abstract

Halsted<sup>1</sup>describes the clinical and surgical features of a case of acute hemorrhagic pancreatitis, the postmortem findings in which seem to have led to a valuable demonstration in regard to the etiology of this affection. The patient was a strong man, 48 years old. subject to attacks of "indigestion." Following an attack of this sort there developed great abdominal pain, cyanosis, especially of the abdominal wall, the pulse running from 87 to 92; there was no abdominal distention and but little vomiting. The pain was intense. At the operation blood-stained fluid escaped, areas of fat necrosis were seen in the omental and peritoneal fat, and there was found some blood-stained serum in the tissues about the pancreas. The common bile-duct was distended, but no calculus was found. Death took place soon after the operation. At the autopsy, by Dr. Eugene L. Opie,<sup>2</sup>there was found the fat necrosis,

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