Fulminant hepatitis complicated by pancreatitis

J. R. Wands, D. C. Salyer, J. K. Boitnott, W. C. Maddrey

Research output: Chapter in Book/Report/Conference proceedingChapter

27 Scopus citations


A 21 yr old male with hepatitis B antigen positive fulminant hepatitis had clinical and postmortem evidence of a complicating hemorrhagic pancreatitis. A review of 18 additional consecutive patients with fulminant hepatitis who died, revealed morphologic evidence of pancreatitis in 8 (44%). There was only 1 patient with pancreatitis (6%) in an age and sex matched control group. The increased incidence of pancreatitis in patients with severe hepatitis was not explained by the use of corticosteroid therapy or the presence of uremia. These observations suggest that pancreatitis may be a frequent accompaniment of fulminant hepatitis, presenting additional problems in management, especially in the maintenance of fluid balance.

Original languageEnglish (US)
Title of host publicationJohns Hopkins Medical Journal
Number of pages5
StatePublished - 1973

ASJC Scopus subject areas

  • Medicine(all)


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