Intestinal Effects of Pancreatitis: Spread along Mesenteric Planes

  • Morton A. Meyers


Acute inflammation of the pancreas may be classified into four groups:
  1. 1.

    Acute edematous pancreatitis is the most common form; there is localized or diffuse swelling of the organ.

  2. 2.

    Acute hemorrhagic pancreatitis is caused by the digestive effects of liberated trypsin and elastinase on pancreatic vessels. The first changes caused by this vascular necrosis are found in the outer layer but the damage usually progresses rapidly to involve the entire thickness of the vessel wall, with disruption of the intima (16).

  3. 3.

    Acute gangrenous pancreatitis is rare because of the rich vascularization of the pancreas.

  4. 4.

    Acute suppurative pancreatitis secondary to superimposed infection may range from a localized pancreatic abscess to diffuse involvement, perhaps as a gas-producing process.



Acute Pancreatitis Splenic Flexure Hepatic Flexure Transverse Mesocolon Small Bowel Mesentery 
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Copyright information

© Springer Science+Business Media New York 1976

Authors and Affiliations

  • Morton A. Meyers
    • 1
  1. 1.Cornell University Medical CollegeNew YorkUSA

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