PANCREATIC ABSCESS, SUPPURATIVE PANCREATITIS.

A complication of strangles or purulent infection. Symptoms: Colics,

chill, tender right hypochondrium, emaciation, fatty stools.

Treatment: Constitutional.

Reimers has reported several cases of pancreatic abscess, as a phase of

irregular strangles (rhinoadenitis). In one case multiple abscesses with

an aggregate capacity of 2½ quarts were found, and some of the pus had

escaped by rupture into the peritoneum and produced infective

inflammation. The abscesses had destroyed the greater portion of the

gland, only a few isolated lobules being left.

Galland found an abscess as big as a walnut in the pancreas of a horse

which had multiple tumors in the abdomen.

_Symptoms._ Colics occur from the local phlegmon, and it may be from its

pressure on the duodenum so as to obstruct it, and this appearing in the

course of strangles would indicate a forming abdominal abscess. Staring

coat or shivering may coincide. Tenderness of the abdominal walls has

been noticed by Reimers, together with a partial loss of appetite and a

characteristically rapid emaciation. Fatty stools, if present, would be

almost the only pathognomonic symptom.

_Prognosis_ is that the abscess will open into the abdomen, and cause

fatal infective peritonitis. It is only as an exceptional occurrence

that its rupture into the duodenum or colon can be hoped for, yet in

such a case recovery is possible.

_Treatment._ Little can be done. It would be well to treat the

constitutional symptoms, and await results.

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