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July 22, 1933


Author Affiliations

Bridgeport, Conn.; New Haven, Conn.

JAMA. 1933;101(4):277-278. doi:10.1001/jama.1933.27430290003010b

This case is presented because of its infrequent occurrence.

F. R., a white woman, aged 45, admitted to St. Vincent's Hospital, Bridgeport, Conn., April 10, 1932, complained of sharp pains in the epigastrium which were intermittent, belching of gas, nausea, and a sour taste in the mouth. She stated that she had never vomited.

She had been operated on fifteen years before for a ruptured ectopic pregnancy. Recovery was good. Eighteen years before, she had had malaria. Otherwise her past history was negative.

The present condition began about four months before admission with a dull ache in the epigastrium and a sour taste in the mouth. This ache gradually became worse and finally sharp pain was experienced which was intermittent in character. Although at first the pain was confined to the epigastrium, it later radiated to the lower right quadrant. The pain had no definite relation to food; however, she

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