April 1955

An Anatomical Approach to the Problem of Massive Gastrointestinal Hemorrhage

Author Affiliations

Thesis submitted by Dr. Kane to the Graduate School of Northwestern University for a Master of Science Degree in Pathology.; From the Departments of Surgery and Pathology of the Cook County Hospital, the Northwestern University School of Medicine, and the Cook County Graduate School of Medicine.

AMA Arch Surg. 1955;70(4):570-582. doi:10.1001/archsurg.1955.01270100096017

Gastrointestinal bleeding is a frequent problem and the localization of the site of hemorrhage may be a challenge. Many lines of approach have contributed information expressing the differentiation of the causes for bleeding. It was felt that the reported anatomical investigations of the problem were not extensive enough and that an additional study of an autopsy series would be enlightening. Therefore, this work was undertaken.

The importance of the gastrointestinal bleeding problem is illuminated by the observation that hemorrhage as a cause of death at autopsy at the Cook County Hospital has more than doubled since a previous review of 1938.62

LITERATURE  Chalmers and co-workers,11 reporting from a similar type of charity institution, stated that in 24 of 101 necropsies, fatal gastrointestinal hemorrhage was not suspected clinically. The clinical accuracy for the diagnosis of the source of bleeding was 53%. This difficulty in ascertaining site of bleeding has

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