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Balser's fatty necrosis

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A disturbance marked by gangrenous pancreatitis with fatty necrotic areas in interlobular tissue and sometimes in pericardial fat and bone marrow, seen in acute pancreatitis. Symptoms are sudden, unbearable attacks of epigastric pain, radiating over large areas, in most cases followed by nausea, vomiting, tenderness, and tympanites. There is prostration, frequent collapse, low-grade fever, and feeble pulse. Constipation for several days is the rule, but diarrhea sometimes occurs. Occurs at any age; slightly higher incidence in female.


  • W. A. Balser:
    Ueber Fettnekrose, eine zuweilen tödtliche Krankheit des Menschen.
    [Virchows] Archiv für pathologische Anatomie und Physiologie und für klinische Medizin, Berlin, 1882, 90: 520–535.
  • R. H. Fitz:
    Acute pancreatitis; a consideration of pancreatic hemorrhage, hemorrhagic suppurative, and gangrenous pancreatitis, and of disseminated fat-necrosis.
    Boston Medical and Surgical Journal, 1889, 120: 181-187, 205-207, 229-235.
We thank Hans-Eckart Schaefer for correcting an error.

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