BILATERAL DIAPHRAGMATIC PLEURISY SIMULATING PERFORATED GASTRIC ULCER
1927; American Medical Association; Volume: 88; Issue: 18 Linguagem: Inglês
10.1001/jama.1927.92680440029013
ISSN1538-3598
Autores Tópico(s)Diverticular Disease and Complications
ResumoOccasionally, in a child, a respiratory infection beginning on the right side with referred pain has been mistaken by some surgeon for appendicitis and operation has been performed. Less often it has occurred with the adult. Seldom does a respiratory infection masquerade under symptoms suggestive of a perforated abdominal viscus. In the case here reported, however, the abdomen was explored with a preoperative diagnosis of perforated gastric or duodenal ulcer; ten days later a postoperative diagnosis of bilateral diaphragmatic pleurisy was established. REPORT OF CASE B. O. V., a white man, aged 50, a clothing salesman, and married, gave a negative family history, except for the facts that his father before death had had frequent attacks of both gallstone and kidney colic; one of his sisters had been operated on for gallstones, and another sister had frequent attacks of indigestion. The patient gave a history of much trouble with indigestion. He had
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