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Article
April 30, 1927

BILATERAL DIAPHRAGMATIC PLEURISY SIMULATING PERFORATED GASTRIC ULCER

Author Affiliations

Durham, N. C.

JAMA. 1927;88(18):1395. doi:10.1001/jama.1927.92680440029013

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Abstract

Occasionally, in a child, a respiratory infection beginning on the right side with referred pain has been mistaken by some surgeon for appendicitis and operation has been performed. Less often it has occurred with the adult. Seldom does a respiratory infection masquerade under symptoms suggestive of a perforated abdominal viscus. In the case here reported, however, the abdomen was explored with a preoperative diagnosis of perforated gastric or duodenal ulcer; ten days later a postoperative diagnosis of bilateral diaphragmatic pleurisy was established.

REPORT OF CASE  B. O. V., a white man, aged 50, a clothing salesman, and married, gave a negative family history, except for the facts that his father before death had had frequent attacks of both gallstone and kidney colic; one of his sisters had been operated on for gallstones, and another sister had frequent attacks of indigestion. The patient gave a history of much trouble with indigestion. He had

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