A case of carcinoma of the pancreas

Abstract

"L.L. a 67 year old male (Case No. Cas 17819/69) admitted to MSII on 15th November 1969, gave a six week history of severe pain in the upper lumbar spine, radiating around the waist and down to the hypogastrium from both sides. Since three weeks he developed dark urine and light coloured faeces. Anorexia and weakness accompanied the above. Two days before admission he complained of dyspnea, without cough or expectoration. He used to smoke 10 cigarettes a day, and was operated far bilateral inguinal herniae some years ago. He was obviously ill and in pain, with a faint icteric tinge of the conjunctivae. His tongue was furred and dehydrated, and he showed a tachycardia of 134/min. and hypertension 220/70. Temperature was 99oF. Respiratory rate 20/min.