Crohn1 states that "the average size of a gastric ulcer is 2-3 centimeters in diameter, although it is not unusual to find an ulcer 4-6 centimeters in width." He describes an ulcer which "eroded nearly the entire posterior wall of the stomach so the palm of the hand laid on it covered it with difficulty." Alvarez and MacCarty2 state from their own data that on the basis of size alone if an ulcer is larger than a dollar, it is almost certainly a cancer. Peabody3 described a gastric ulcer measuring 19 by 10 cm.
Duodenal ulcers, according to Crohn, average 0.5 by 1 cm. in diameter. He describes a duodenal ulcer measuring 8 by 3.5 cm. in diameter which had penetrated through the base of the duodenum in its entire length, exposing the pancreas and causing a fatal erosion of the superior pancreaticoduodenal artery.
We report a
Burger GN, Merrell P. A CASE OF LARGE NONMALIGNANT GASTRIC ULCER AND A CASE OF LARGE DUODENAL ULCER WITH FATAL HEMORRHAGE. JAMA. 1933;100(5):336–337. doi:10.1001/jama.1933.27420050001010
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