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April 22, 1939

PRIMARY ADENOCARCINOMA OF THE JEJUNUM WITH PERFORATION: REPORT OF A CASE WITH SOME CLINICOPATHOLOGIC NOTATIONS

Author Affiliations

Attending Surgeon, Cook County Hospital; Department of Pathology, Cook County Hospital Chicago

From the departments of Surgery and Pathology of the Cook County Hospital, Dr. Walter Schiller, director of laboratories.

JAMA. 1939;112(16):1576-1579. doi:10.1001/jama.1939.62800160004010b
Abstract

Carcinoma of the jejunum, like carcinoma of the rest of the small intestine, is rare. Acute perforation of such a lesion is still more unusual. Carter1 in 1935 mentioned that perforation of such a growth with peritonitis was recorded in only one case of laparotomy in the preceding eight years. No doubt he had reference to the case reported by Dencks,2 which will be described later and which is the only instance of involvement similar to that to be reported that we have been able to find in the literature. The case here reported presented clinically the picture of perforated peptic ulcer.

REPORT OF CASE 

History.—  J. K., a white man aged 48, a laborer, admitted May 1, 1935, to the Cook County Hospital (surgical service of Dr. John Harger), was seized suddenly with severe pain in the abdomen twenty-two hours before admittance, while doing some repairs on

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