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- W2003972281 abstract "Case No. 1. Female patient, age 35, wife of farmer, Western Canada. Entrance Complaints: (1) Dyspepsia; (2) Mass in abdomen. Present Illness: For the past month and a half patient has had epigastric discomfort following meals, which, unless she rested, would terminate in vomiting. In this event the vomitus consists of a yellowish fluid containing dark particles. She would frequently be awakened in the early morning by this epigastric distress and was relieved by taking food or baking soda. Pronounced constipation. The above-noted symptoms are less pronounced when she takes plenty of rest. She has had dyspepsia similar to this last attack, but not so severe, each spring for the past three years. A large, freely movable mass is palpable in the mid-abdomen. Past Illness: Patient had bilious attacks up to the age of seventeen, which were followed by vomiting. At ten years of age the attack was very much worse than usual, there being much pain and vomiting for a period of one week. Pleurisy eight years ago, without effusion. X-ray Findings: A large, freely movable stomach containing a large, freely movable mass. A pouch on greater curvature of body of stomach. Pedunculated benign tumor or hair ball. Operative Findings: Large hair ball. Pouch on greater curvature, from apex of which an adhesion extends to left lateral parietal peritoneum. Case No. 2. Postmortem Findings: The body is that of a poorly developed, very emaciated man. Rigor mortis and postmortem staining are not marked. There are no external signs of injury. Inspection of Cavities Pleural Cavity: The left pleural cavity contains a considerable quantity of yellow fluid with flakes of fibrin floating in it. The visceral pleura is covered with a thick, fibrinous exudate. There are no adhesions. The lower lobe of the left lung is quite solid, but in a state of red hepatization. The upper lobe is congested and edematous. The right pleural cavity contains a very small amount of clear, straw-colored fluid. There are firm, retracted scars, but otherwise the lung is normal. Pericardial Cavity: It contains a slight excess of fluid. The heart is very small and contracted, weighing 230 grams. The tricuspid valve admits four fingers and the mitral valve two fingers. The right ventricle measures 4 mm. and the left 14 mm. Both mitral and aortic valves show slight diffuse nodular thickening, but no ulceration nor vegetations. The aorta shows a fair amount of fatty degeneration. Abdominal Cavity: The stomach is firmly adherent to the liver at its lesser curvature and posterior surface. On opening the stomach this is seen to be due to a large perforation of the stomach of about 2 inches diameter, causing a walled abscess between the upper and posterior surfaces of the stomach and the liver. The perforation is immediately distal to the cardiac orifice." @default.
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- W2003972281 date "1924-09-01" @default.
- W2003972281 modified "2023-10-17" @default.
- W2003972281 title "A Case of Hair Ball" @default.
- W2003972281 doi "https://doi.org/10.1148/3.3.257" @default.
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