Pancreatic Abscess, Suppurative Pancreatitis. 541 



areas, in animals injected with septic matter. There was increased 

 secretion in the early stages. 



A marked feature of pancreatitis in man is the occurrence in 

 the interlobular tissue of the gland, the omentum, mesentery and 

 abdominal fatt}^ tissue generally, of circumscribed areas of fat 

 necrosis, each var3'ing in size from a pin's head upward even to a 

 hen's egg. On section the.se show a .soft tallowy consistency and 

 Langerhans has shown that they are composed of lime and fatty 

 acids in combination. When lime is in excess they become gritty. 

 According to Osier they may be dependent on some other primary 

 affection (Bright' s disease j. The partially calcified concretions 

 found in the pancreatic ducts, and the yellowish white, gritty 

 areas, which represent the degenerate lobules in animals (Seidam- 

 grotzky) are suggestive of a similar morbid condition of the pan- 

 creas or it may be of some distant organ. Of late years a number 

 of cases have been recorded in man and a vei'y high mortality 

 noted. 



The symptoms in the lower animals are very obscure, and an 

 accurate diagno.sis is looked upon as almost impossible. They 

 are essentially the same as given above under catarrhal pan- 

 creatitis. 



Treatment too has the same narrow limitations. 



PANCREATIC ABSCESS, SUPPURATIVE PAN- 

 CREATITIS. 



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

 <;hill, 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 ca.se multiple 

 abscesses with an aggregate capacity of 2^ 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. 



