. Annals of surgery . and remote, gavethe maximum satisfaction to patients and operator. Case I.—(Previously reported by Webb. Annals of Surgery, October,1917.) M. forty-two. Housewife. .Admitted February 5, 1917, on account1)1 epigastric pain, vomiting and loss ofweight. In 1915. weighed one hundredtwenty-one pounds. Xow weighs abouteighty pounds. Present Illness.—Began two and one-hah years before admission with epi-gastric pain accompanied by gaseouseructations, occurring about three hoursafter the noon-day meal and continuinguntil about eleven Symptoms gradu-ally increased in sev
. Annals of surgery . and remote, gavethe maximum satisfaction to patients and operator. Case I.—(Previously reported by Webb. Annals of Surgery, October,1917.) M. forty-two. Housewife. .Admitted February 5, 1917, on account1)1 epigastric pain, vomiting and loss ofweight. In 1915. weighed one hundredtwenty-one pounds. Xow weighs abouteighty pounds. Present Illness.—Began two and one-hah years before admission with epi-gastric pain accompanied by gaseouseructations, occurring about three hoursafter the noon-day meal and continuinguntil about eleven Symptoms gradu-ally increased in severity. Pain relievedby vomiting and by taking sodium bicar-bonate until about one year before admis-sion, when these measures ceased togive relief. No nr has recently noticed splashing instomach and peristaltic movements inupper abdomen. Pliysieol Examinulion.—There is abulging tympanitic area in upper half ofabdomen corresponding to the positionof a dilated stomach. Here peristaltic. Fig. I.—RonlgenoKram of be-fore opera!ion immediately after ingestion ofbismuth, showing great dilatation of pyloricpouch. Position of photograph is reversed. movements can be seen travelling from left to right and ending under rightcostal border. Clapotagc present. There is a palpable movable mass about thesize of a lemon just above and to the right of umbilicus. Wassermann —There is a huge stomach, the pyloric pouch three times the sizeof the cardiac pfjuch. The constriction between the two pouches is due to cica-trization of a large ulcer which forms a tumor nearly the size of a is obstructed by a similar large callous, apparently cicatrized, ulcer. Asmall node lying on the pylorus excised (microscopical report normal). Double Read before the .American Surgical Association. May 31, Medical News, .April. 1896. .)87 L. GIBSON
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
