Transactions of the Medical Society of the State of North Carolina [serial] . retro-omental route. creatitis. Pain is the most important and most variable symptom. It usuallyoccurs as colics; it may be dull and continuous, or intermittent. Usually itit most marked in the epigastrium and back and radiates along the leftcostal margin. Glycosuria is somewhat rare and is seen in advanced casesonly. In the 70 cases collected by Oser, 24 showed diabetes or transitoryglycosuria. In the 28 cases operated upon glycosuria was noted in but onecase at the time of operation and in another it developed some
Transactions of the Medical Society of the State of North Carolina [serial] . retro-omental route. creatitis. Pain is the most important and most variable symptom. It usuallyoccurs as colics; it may be dull and continuous, or intermittent. Usually itit most marked in the epigastrium and back and radiates along the leftcostal margin. Glycosuria is somewhat rare and is seen in advanced casesonly. In the 70 cases collected by Oser, 24 showed diabetes or transitoryglycosuria. In the 28 cases operated upon glycosuria was noted in but onecase at the time of operation and in another it developed some years changes were uncommon. Fatty stools were noted in only threeof the 28 cases operated on. Jaundice was present in six of the seriesoperated on. It was associated with gallstones in two cases; in four casesno gall-stones were present. Jaundice of a mild degree was caused byedema of the head of pancreas or obstruction of the lower end of thecommon duct by the calculus as it reaches the ampulla of Vater. 284 THE MEDICAL SOCIETY OF THE STATE OF NORTH CAROLINA. U SURGERY 285
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