IN THE past 18 months personal autopsy examination and histologic study have been made on four cases of florid acute hemorrhagic pancreatitis, on one case of focal acute hemorrhagic pancreatitis, and on one case showing sequelae of a severe remote attack. In all acute cases I have been deeply impressed by the degree and extent of renal nephrotic involvement. This seemed to be so much an integral part of the syndrome that it appeared to have some common etiologic basis, and the study here recorded is believed to elucidate the nature and cause of the renal involvement and to emphasize a possibly common fatal complication of acute hemorrhagic pancreatitis. In addition, it is believed that the "chronic," or remote, case hereunder described completes the picture of the natural course and evolution of the renal lesion in those who survive the acute episode.
REPORT OF CASES
The Acute Phase