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September 3, 1898


Author Affiliations

F.R.C.S., Edinburgh, Exam. M.R.C.S., England. Fellow Medico-Chirg Society, London. Late Resident Surgeon Royal Edinboro Infirmary. Lecturer on Surgery, College of Physicians and Surgeons, San Francisco, and Visiting Surgeon, St. Mary's Hospital. SAN FRANCISCO, CAL.

JAMA. 1898;XXXI(10):538-540. doi:10.1001/jama.1898.92450100036002l

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J. Patritti, Italian; aged 38 years; occupation, dairyman; admitted to St. Mary's Hospital on June 15, 1898, suffering from a tumor of the pyloric end of the stomach. The usual symptoms associated with that condition were present; as the patient was unable to speak English but imperfectly, no definite history was obtainable, but so far as we could gather, he had been ill, probably unable to work, for two and one-half months prior to entering the institution. He stated he never had any previous illness; moreover his immediate relatives were free from cancers or tumors. He complained of pain in the epigastric region, paroxysmal in character, vomiting and weakness. The physical examination revealed marked general emaciation, a distinct movable tumor in the right hypochondrium; the stomach was dilated and on stimulation of the epigastrium by rubbing could be made to contract violently, attempting to pass its contents on to the

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