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Article
May 1949

REPEATED MASSIVE INTESTINAL HEMORRHAGE FROM MULTIPLE MALIGNANT TUMORS OF THE JEJUNUM

Author Affiliations

TOPEKA, KAN.

Arch Surg. 1949;58(5):701-707. doi:10.1001/archsurg.1949.01240030711012
Abstract

THE FOLLOWING case seemed to us to demonstrate some difficulties in making a clinical diagnosis of tumors of the small intestine and exhibited several unusual features of sufficient interest to justify reporting it.

REPORT OF A CASE  The patient was a white married man, 58 years of age. His family history and past history were noncontributory. He was admitted to the hospital on March 31, 1948, to the medical service of Dr. Don C. Wakeman, with a history of tarry stools for one month and weakness and dizziness on exertion for two weeks. Two days before his admission he had fainted after taking a few steps.Examination demonstrated no significant findings except pallor. His hemoglobin content was 40 per cent, with 2,490,000 erythrocytes. Other laboratory studies revealed nothing abnormal except that a stool specimen contained blood. The provisional diagnosis was bleeding duodenal or gastric ulcer.He was treated by ordinary

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