This case seems to be worth publication on account of the rarity of the condition and the difficulty of the diagnosis.
—B. F., aged 45, was first seen by me in my office, June 15, 1906. Up to the summer of 1902 the patient had never suffered from stomach or bowel trouble. At that time he began to complain of constipation and hemorrhoids, for the former of which he had been under treatment several times. None of the ordinary cathartics were so promptly effectual as Epsom salts. The patient often experienced a sensation of fulness of the stomach and suffered from severe headaches. These symptoms, however, disappeared as soon as the cathartics were taken. The patient also complained of acid eructations after eating. His appetite was always very good and he had never vomited or had any abdominal pain. On two occasions he observed bright blood in the
FRIEDMAN GA. SUPPURATIVE PERIGASTRITIS: A CASE WITH TUMOR FORMATION FOLLOWING PERFORATED GASTRIC ULCER OF THE GREATER CURVATURE. JAMA. 1910;LIV(8):611–613. doi:10.1001/jama.1910.92550340001001j
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