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Article
January 26, 1924

AN UNUSUAL CASE OF PERFORATED DUODENAL ULCER

JAMA. 1924;82(4):302-303. doi:10.1001/jama.1924.26520300001014a
Abstract

The unusual features of this case were the type and radiation of pain, the lack of abdominal symptoms, the chronicity of the pain, and the rarity of a right-sided subphrenic abscess as a result of a pathologic condition of the stomach.

REPORT OF CASE  A man, aged 48, married, a watchmaker, suddenly experienced excruciating pain in the anterior portion of the right shoulder and arm, May 19, 1923. Examination showed a somewhat tender abdomen, which it was difficult to palpate, as he held himself rigid owing to the intensity of pain in the shoulder. He was sent to the hospital and a study of the case instituted, but he returned home in spite of recommendations to the contrary. He was up and about for four or five days, during which time his chief complaint was of intense pain in the anterior portion of the right shoulder and arm. I did

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