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Case Report and Review of the Literature

MELVIN A. CASSEL, M.D.; JOSEPH B. GUCCIONE, M.D.

AMA Arch Surg. 1955;70(4):598-601.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

MASSIVE hemorrhage from an unknown source in the gastrointestinal tract remains one of the most perplexing problems in surgery. Lacking a history of preexisting ulcer or gastritis, negative physical findings, a questionable roentgenogram, the following case report illustrates such a problem with a most unusual lesion as the bleeding source.

J. P., a 49-year-old white man, was admitted to Faith Hospital on April 25, 1953, with a complaint of tarry stools of five days' duration. The black stools had increased in frequency and volume in the 48 hours prior to admission. Except for the gradual progressive weakness, there were no associated symptoms.

There was nothing in the past history suggestive of gastrointestinal disease. However, for the past two years this patient had been under medical care for hypertension and episodes of auricular fibrillation.

During this time he had received various drugs including phenobarbital, veratrum viride (Vertavis), mannitol hexanitrate (Nitranitol), alkavervir . . . [Full Text PDF of this Article]

Author Affiliations
St. Louis

From the Surgical Service of Faith Hospital.

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