St. Thomas's Hospital Reports 31

Cover St. Thomas's Hospital Reports 31
St. Thomas's Hospital Reports 31
St. Thomas's Hospital (London, England)
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B — , female, let. 36, domestic servant. Chronic dyspepsia. On day of admission was seized, whilst washing, with severe abdominal pain and vomiting.
On examination abdomen rigid and tender. Dulness in flanks. Temp. 98°; pulse 186. Cosliotomy. Stomach contents free in peritoneal cavity. Perfora- tion found on anterior surface of stomach just below lesser curvature, midway between cardia and pylorus ; closed with Lembert sutures. Lavage of peritoneal cavity with normal saline. Patient remained co
...llapsed and died on the following day. P.M. — The ulcer had been adherent to under surface of left lobe of liver, and the perforation had apparently been due to the tearing of adhesions. The ulcer was i inch in diameter, and its peritoneal floor was absent. Exactly opposite it was a cicatrised ulcer on posterior surface of stomach. Intense general peritonitis. Viscera showed toxsemic changes. Lungs intensely con- gested ; obsolete tuberculosis at right apex.
IntrctetahU vomiiinff ; gattro-jejunoHomy, — E.


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