Persistent acute XXXX . A variant treated by pancreatoduodenectomy.

@entity1 @entity32 @entity788 @entity39 @entity292
Acute @entity788 usually subsides spontaneously or is complicated by pseudocysts, @entity39 , or abscesses. We describe an uncommon variant of acute @entity788 in which signs of @entity32 persist over a number of months, waxing and waning but never disappearing. Neither identifiable collections nor other targets for surgical drainage develop in these @entity1 , nor does their condition ever remit enough to allow them to leave the hospital. Eating provokes a flareup of @entity32 . We have treated five such @entity1 with a pancreatoduodenectomy (four @entity1 ) or total pancreatectomy (one @entity1 ). Each @entity1 had been continuously hospitalized for six to 12 weeks before operation. All survived the operation and left the hospital eating solid food within 16 days. In addition to acute @entity32 and fat @entity39 , the resected specimens showed main @entity788 or occlusion in three @entity1 , a pancreaticoduodenal @entity292 in one, and a congenital duplication cyst. Pancreatography or cholangiography showed the lesion in three of four cases and helped in planning therapy. Thus, acute @entity788 may fall to remit because of proximal @entity788 , for which pancreatoduodenectomy is a reasonable and effective treatment.
