Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . s large areas are involved. The serum of the general peri-toneum is usually blood-tinged, and in the cavity of the lesser omentumthe blood staining is usually marked. If the patient survive, the areaof necrosis be small, and the escape of pancreatic secretion be arrested, Rif. Med, Aup. 2.^, 1904. Jour. Amer. Med. Assoc, Sept. 24, 1904, p. 888. 77° SPECIAL PATHOLOGY ultimate recovery sometimes occurs. In more marked cases, when thepatient Uves long enough, the pancreas softens, and be
Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . s large areas are involved. The serum of the general peri-toneum is usually blood-tinged, and in the cavity of the lesser omentumthe blood staining is usually marked. If the patient survive, the areaof necrosis be small, and the escape of pancreatic secretion be arrested, Rif. Med, Aup. 2.^, 1904. Jour. Amer. Med. Assoc, Sept. 24, 1904, p. 888. 77° SPECIAL PATHOLOGY ultimate recovery sometimes occurs. In more marked cases, when thepatient Uves long enough, the pancreas softens, and becomes dark red,purphsh, and eventually slate colored or black. In the later stageinfection is almost invariably present, inducing a fetid odor; the pan-creas has become gangrenous, and the lesion is now called gangrenouspancreatitis. The extent of the pancreatic and contiguous necrosis isdetermined by the size of the area originally involved. The dead tissuemay lie in an abscess cavity formed by the lesser omentum, or in rareinstances the suppurative and necrotic process penetrates the intestine . .r--^.. Fig. 371.—Acute Pancreatitis with Fat-necrosis (Douglas).This section of the pancreas, duct of VVirsung, and bile-duct makes evident the ease with which the bile may enterthe pancreatic duct when a stone becomes lodged in the papilla, below the junction of the common bile-ductand the duct of VVirsung. Retrojection of bile into the duct of the pancreas is a most important factor in theproduction of pancreatitis. A. Areas of fat-necrosis upon the surface of the pancreas. B. .Areas of fat-necrosis within the parenchyma of the gland. C. Ductus communis choledochus. D. Ductus Papilla of Vater, opening of the ducts into the duodenum by a common aperture after junction just above. into which it empties. Acute inflammation of the pancreas is frequentlyassociated with, and is usually due to, cholelithiasis and inflammatoryconditions affecting the bile-ducts. The sple
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