The Diabetic Coma of Acute Pancreatitis

Article1 February 1958THE DIABETIC COMA OF ACUTE PANCREATITISGEORGE T. TULLY, M.D., JOSEPH J. LOWENTHAL, M.D.GEORGE T. TULLY, M.D.Search for more papers by this author, JOSEPH J. LOWENTHAL, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-48-2-310 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONSeven cases of diabetic coma associated with acute pancreatitis have been observed at the Duval Medical Center during the last year. As the body of knowledge about this disease state has grown, we feel that there are certain specific characteristics by which it can be recognized.Root1 in 1937 described four cases. Schumaker2 analyzed the literature and reported 25 cases in which diabetic coma occurred during an acute stage of pancreatic inflammation. Other reports list 29 additional cases.3, 4, 5, 20-26There are numerous references to diabetic states following pancreatic necrosis.6, 7, 8, 9We hope to demonstrate that...Bibliography1. Root HF: Diabetic coma and acute pancreatitis with fatty livers, J. A. M. A. 108: 777, 1937. CrossrefGoogle Scholar2. Schumaker HB: Acute pancreatitis and diabetes, Ann. Surg. 112: 177, 1940. CrossrefMedlineGoogle Scholar3. Caldwell RK: Diabetes mellitus following acute pancreatic necrosis, New England J. Med. 251: 228, 1954. CrossrefMedlineGoogle Scholar4. WarrenFallisBarron KWLSJ: Acute pancreatitis and diabetes, Ann. Surg. 132: 1103, 1950. CrossrefMedlineGoogle Scholar5. FoordBowen AGBD: Acute interstitial pancreatitis in two cases of diabetic coma, Am. J. M. Sc. 180: 676, 1930. CrossrefGoogle Scholar6. DeTakatsMacKenzie GWD: Acute pancreatic necrosis and its sequelae, Ann. Surg. 96: 418, 1932. CrossrefMedlineGoogle Scholar7. PolayesLinderRothenberg SHWRE: Pancreatic necrosis, J. A. M. 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IvyGibbs ACGE: Pancreatitis, a review, Surgery 31: 614, 1952. MedlineGoogle Scholar23. RichDuff ARGL: Experimental and pathological studies on the pathogenesis of acute hemorrhagic pancreatitis, Bull. Johns Hopkins Hosp. 58: 212, 1936. Google Scholar24. CullenFriedenwald TSJ: Acute and chronic pancreatitis, clinical observations, Arch. Surg. 15: 1, 1927. CrossrefGoogle Scholar25. Felsenreich F: Klinik der akuten und subakuten Pankreasnekrose, Arch. f. klin. Chir. 168: 307, 1932. Google Scholar26. Cabot Case 16282, New England J. Med. 203: 82, 1930. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Jacksonville, Florida*Received for publication April 24, 1957.Presented at the Southeastern Regional Meeting of the American College of Physicians, Nassau, British West Indies, October 20, 1956.Requests for reprints should be addressed to George T. Tully, M.D., Duval Medical Center, 2000 Jefferson Street, Jacksonville 8, Florida. 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SHUMAN, M.D., F.A.C.P.The Pancreas: Current Contributions of Clinical InterestPancreatic Surgery 1 February 1958Volume 48, Issue 2Page: 310-319KeywordsAcute pancreatitisBlood plasmaCalciumCholesterolComaDiarrheaHyperglycemiaHypoglycemiaInflammationPancreatitis ePublished: 1 December 2008 Issue Published: 1 February 1958 PDF downloadLoading ...