158 Case of Diseased Pancreas? 



VII. Case of Diseased Pancreas. Communicated to 

 the Editor by Edwin A. Atlee, M. D., of Phi- 

 ladelphia. 



A. B., child of Wm. P. B., Columbia, Lancas- 

 ter County, aged 4 months, was, about the middle of 

 January last, affected with sudden loss of motion in the 

 lower extremities, and of sensation in all that part of the 

 spine below the first lumbar vertebra; — a pain from be- 

 ing placed on his left side, or in any other position than 

 erect, or on the right side ; and an almost incessant beat- 

 ing of his right arm against his side. A tenesmus and 

 dysury, attended with excruciating pain, superadded 

 to the other symptoms, rendered him truly an object of 

 commiseration. He very early manifested something 

 like spasm, by forcible retractions of the body, and con- 

 tractions of the fingers. 



About three weeks from the first attack, a hard swel- 

 ling, about the size of a pigeon's egg, was discovered to 

 the right of the fundus of the bladder, and about a week 

 afterwards there was a discharge of purulent matter 

 from the urethra, and an erysipelatous inflammation over 

 the penis, perinseum, and nates. 



In the beginning of April, another larger induration 

 was discovered, which increased with considerable ra- 

 pidity, until it appeared to take up almost all that part of 

 the abdomen situated between the right hypocondria, 

 umbilicus, and spine of the ilium. Fever very mode- 

 rate, until this induration had arrived to the extent des- 



