This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

George M. Bogardus, MD

AMA Arch Surg. 1968;96(2):263-265.

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

THE CONCOMITANT occurrence of duodenal perforation and hemorrhage, while not extremely rare,¹ is particularly lethal.² Recent experience with such an instance in a cirrhotic patient emphasizes the seriousness of this combination. For this reason the following case report is submitted, with a brief mention of certain clinical and experimental considerations.

Report of a Case

This 54-year-old white man was hospitalized Dec 16, 1966, complaining of a sudden onset of sharp, severe, suprapubic pain radiating throughout the whole abdomen. There was no nausea, vomiting, colic, or prior attacks. He had a history of hypertension and cirrhosis. The patient seemed fairly comfortable, phlegmatic, and had a slight icteric tint to the sclerae. The liver was down three or four fingers' breadth. The flanks were dull to percussion. Bowel tones were present and quiet. A rectal examination was essentially negative. Rales were present at the lung bases. The temperature on entry . . . [Full Text PDF of this Article]

Author Affiliations
Seattle

From Providence Hospital, Seattle.

Footnotes
Submitted for publication July 6, 1967.

Reprint requests to 1001 Broadway, Seattle 98122 (Dr. Bogardus).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?