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Article
March 1930

HYPERTONICITY WITH HYPERTROPHY OF THE PYLORUS IN ADULTS: SURGICAL ASPECTS

Author Affiliations

Assistant Professor of Surgery and Gynecology, University of Virginia Department of Medicine CHARLOTTESVILLE, VA.
From the Department of Surgery and Gynecology, University of Virginia.

Arch Surg. 1930;20(3):508-514. doi:10.1001/archsurg.1930.01150090155009
Abstract

It is my purpose to call attention to a syndrome that seems to constitute a definite clinical entity, but one that the clinician seldom if ever takes into consideration when confronted with a patient who complains of discomfort in the upper part of the abdomen. It was brought to my attention by three patients who were seen recently at the University of Virginia Hospital. In each instance roentgenologic studies of the gastro-intestinal tract were made, and in all of them rather characteristic changes in the pylorus were noted. The roentgenologic observations will be reported in detail elsewhere by Archer.1 Exploration of the abdomen revealed almost identical changes in each case; namely, hypertonicity and hypertrophy of the pylorus with narrowing of its lumen.

REPORT OF CASES 

Case 1.  —C. D., a white man, aged 63, was admitted to the medical service on Jan. 5, 1926. Except for the fact that

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