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June 5, 1909


Author Affiliations

Professor of Principles and Practice of Medicine, Cooper Medical College, and Physician to Lane Hospital SAN FRANCISCO

JAMA. 1909;LII(23):1819-1820. doi:10.1001/jama.1909.25420490015002a


History.  —A man aged 29, always previously well, was taken suddenly and violently ill on the evening of July 19, 1908. After working all day and eating his supper as usual he had a feeling of weight in his stomach, drank some water for relief, and was immediately afterward seized with very severe pains. These persisted until an hour later he vomited a large amount of material, watery in character, which he described as "black-looking stuff." This vomiting recurred later in the night and altogether he brought up a large amount of this dark-looking fluid. After a hypodermic injection of morphin the pain and the vomiting gradually ceased and he slept. The next day he had hiccoughs and these persisted more or less constantly thereafter until July 25. During this period, July 20 to July 25, he had only a little pain, but vomited from time to