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March 8, 1924


JAMA. 1924;82(10):785-787. doi:10.1001/jama.1924.02650360027009

The comparative rarity of lymphosarcoma of the intestine prompts me to report a case that came under my observation some months ago.

REPORT OF CASE  The patient, a woman, unmarried, aged 34, was admitted to the Illinois Central Hospital, Jan. 24, 1923, with a history of pain in the epigastrium and lower left quadrant. The onset occurred seven weeks previously with sudden, cramplike pain over the entire abdomen. A physician who was called prescribed a cathartic, which, however, gave no relief. The pain gradually decreased in severity and finally localized as a dull pain in the left lower quadrant. The patient was nauseated at the onset but did not vomit. Bowel movement had no influence on the pain. The history was otherwise unimportant.On examination a hard, irregular mass was palpable superficially at the level of the navel on the left side. The mass extended downward to the lower quadrant,