Primary jejunal ulcer

✍ Scribed by J. M. Black

• Publisher: John Wiley and Sons
• Year: 1929
• Tongue: English
• Weight: 163 KB
• Volume: 17
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800176619

✦ Synopsis

THE rarity of primary ulceration of the jejunum prompts me to record the following case. D. H., a miner, age 63 years, was admitted to the Dunfermline and West Fife Hospital on Feb. 10, 1928, about 8 p.m.

HIsToRY.

-bt 4 a.m. on Feb. 10 he was awakened with sudden very acute pain in the epigastrium, and vomited some mucus. The pain became localized to the right iliac region, and although the bowels operated there was no abatement of pain. He had no more vomiting, no shoulder-tip pain, and no symptoms affecting micturition. His doctor was called in and sent him to hospital, with a diagnosis of acute appendicitis. He has had no indigestion or previous trouble with his stomach or bowel, although on closely questioning him after operation he admitted having had a little flatulence lately.