. Diseases of the stomach : including dietetic and medicinal treatment . Perforated gastric ulcer. P. perforation; M, uLui.^, luiinujg wluu nmains as floor of the ulcer;B, border of ulcer. (From the Pathological Museum of the Mt. Sinai Hospital, New York.) Fig. 31. ItMIIIIIIIIII III I I lltl M jltlllln I 11 M III I II III III • L-M ) 7 .V * 5I INCHES ; J III. I. I. I. I. I. I III I I. I. I I Perforated duodenal ulcer in an infant four months old. .S, stomach; I), duodenum; P, pyloricring; A, perforated ulcer with hemorrhagic border. (From the Pathological Museum, PresbyterianHos
. Diseases of the stomach : including dietetic and medicinal treatment . Perforated gastric ulcer. P. perforation; M, uLui.^, luiinujg wluu nmains as floor of the ulcer;B, border of ulcer. (From the Pathological Museum of the Mt. Sinai Hospital, New York.) Fig. 31. ItMIIIIIIIIII III I I lltl M jltlllln I 11 M III I II III III • L-M ) 7 .V * 5I INCHES ; J III. I. I. I. I. I. I III I I. I. I I Perforated duodenal ulcer in an infant four months old. .S, stomach; I), duodenum; P, pyloricring; A, perforated ulcer with hemorrhagic border. (From the Pathological Museum, PresbyterianHospital New York.) COMPLICATION,^ OF CLCEfi 161 Syuiptuins.—In of the cases perforation is the first indicationof serious gastric trouble, occurring as an initial symptom in percent, of Fenwicks acute ulcers, and in 5 per cent, of the seem to be low figures when we realize how many acute perfor-ations are brought to the hospital oblivious of all symptoms ofprevious ulceration. Hartley, in a verbal communication to the writer, states that in hislast 10 cases of perforation, 8 claimed to be free from pain or indigestionbefore the accident. In 8 of 13 cases of perforation reported byAndrews a history of previous pain was denied. Many of the
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