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May 30, 1966

Massive Hemoperitoneum Due to Gastric Diverticulum

JAMA. 1966;196(9):798-799. doi:10.1001/jama.1966.03100220090034

DIVERTICULUM of the stomach is an unusual anomaly of the upper gastrointestinal tract. A true diverticulum must contain all coats of the gastric wall with no evidence of other gastric or extragastric disease to account for it. The occurrence of this condition in only 0.0043% of general hospital admissions and 0.043% of routine radiologic studies emphasizes its rarity.1 Palmer2 reviewed 412 authentic cases reported by 1951. He noted that direct complications of true diverticula were remarkably few.4 Although massive bleeding into the gastrointestinal tract has been reported,3 it is an infrequent event, despite the fact that the mucosal lining of the diverticulum often shows considerable change due to trauma and inflammation. Brown et al4 reported gastrointestinal bleeding in 2 of 30 cases. Recurrent bleeding into the intestinal tract has also been described.5 Sutherland6 reported a case of occult gastrointestinal bleeding due to hemorrhage from

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