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The Complex Origin of Hematemesis
Addressing the Société des médecins des hôpitaux de Paris, Messieurs René A. Gutmann and Michel Demole reported the results of the examination of 100 patients sent to the hospital on account of hematemesis. To simplify matters, they eliminated the cases of melena. Among the hundred patients, the authors found only nineteen cases of stomach ulcer and three cases of cancer of the stomach. Hematemesis in patients with appendicitis or cholecystitis, with or without perivisceritis, is well known, and the authors emphasize its frequency. In six cases they found mild hepatic conditions, alcoholic cirrhosis and hepatic syphilis. After the elimination of a number of rare causes, such as benign tumors and gastric syphilis, there remained twenty-one cases in which no research and no exploration enabled them to establish a diagnosis; these were possibly connected with blood disorders, of vascular or splenic origin, and all little known.
PARIS. JAMA. 1932;99(12):1006–1007. doi:10.1001/jama.1932.02740640048022
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