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Denver, Oct. 27, 1908.
To the Editor:
—I have read with much interest a clinical note by Dr. W. R. Houston entitled "Acute Dilatation of the Stomach, Report of an Unusual Case," in The Journal, October 24, page 1424.Taking it for granted that Dr. Houston recorded every symptom of importance—namely, that the woman was taken with sudden abdominal pain which was referred to the upper quadrant, that the distention was at first more marked on the right side and later became universal, and that the heart and liver were considerably displaced upward—I beg to submit my opinion that the ease was not one of dilatation of the stomach, but of volvulus of the stomach. The differential diagnosis between dilatation of the stomach and that of volvulus of the stomach is the absence of vomiting in the latter, and the presence of copious vomiting in the former. The facts that
Spivak CD. Dilatation or Volvulus of the Stomach.. JAMA. 1908;LI(19):1616. doi:10.1001/jama.1908.02540190054015