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[Cytosteatonecrosis: cause or consequence of acinic necrosis in acute pancreatitis? (author's transl)].

It is now common knowledge that per-operative findings and pathological examination results may be discordant in acute pancreatitis. A study of 25 cases considered as "necrotizing" and subjected to histological examination has prompted the authors to devise a new experimental model of acute pancreatitis in dogs, using Wirsung's canal. They found that steatonecrosis precedes acinic lesions and hypothesize that it might be responsible for necrosis of the glandular tissue.