- The peritoneal cavity contained about 100ml of blood-stained serous fluid, with no obvious areas of focal infection. There were several adhesions of the small intestine to the peritoneal wall and the capsule of the liver.
- There was extensive haemorrhage into the lower rectus sheath muscles and psoas muscles; the haemorrhaging was not fresh, but had probably occurred some time in the past ten days.
- The pharynx and oesophagus were normal.
- The stomach showed a superficial gastritis, with numerous small areas of haemorrhage.
- The liver weighed 2400g, with a normal capsular and cut surface (see picture - left).
- The gallbladder could not be found.
- The pancreas showed marked fibrous change on sectioning (see pictures - middle & right). These slides of the pancreas are totally abnormal. There is duct dilation, fibrosis and the white dots represent foci of calcification which is quite common in chronic pancreatitis