Transactions

Cover Transactions
Transactions
American Gastroenterological Association
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In the other case (No. 2) operatio^ disclosed duodenal ulcer and in addition cirrhosis of the livfl The sjTiiptoms were fairly typical of ulcer, namely: hyperacidity, amemia, rather indefinite epigastric pain, and occult blood in the stools* Thei'e was no jaundice, ascites, hemorrhoids, or other decided signs of portal obstruction* We foimdi however, a typical smalt ro»Tgh, cirrhotic liver, with exceptionally good collateral circulation through the deep veins of the abdominal wall, which explai...ned the absence of indications of portal obstruction. We were impressi by the fact that all of the sjmiptoms could have been produced the cirrhosis alone without the ulcer, including the occult bleedi ^ and we are incUned to think that cirrhosis of the liver will l^e one of the conditions most liable to cause error in the interpretation of occult bleeding, because it so often exists without symptoms, or wj^ very indefinite symptoms of gastrointestinal disortler, and, besidfl shows occult bleeding in the stool quite regidarly and frequently.

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