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Harold J. Schneider, MD; Jerome F. Wiot, MD

JAMA. 1975;231(12):1287-1288.

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

History

A 59-year-old woman was first admitted to the hospital in March 1960 with an acute illness of two days' duration manifested by vomiting and progressive right upper quadrant pain. Blood pressure was 183/100 mm Hg. Tenderness, with a questionable palpable mass, was present in the right upper quadrant. The white blood cell count was 22,500/cu mm with 78% neutrophils. An oral cholecystogram (Fig 1) demonstrated a nonfunctioning gallbladder with large calcifications in the right upper quadrant. An upper gastrointestinal series was normal.

The patient responded to conservative management and was discharged.

On June 29, 1964, she was readmitted with a four-day history of nausea and vomiting. An upper gastrointestinal series demonstrated incomplete obstruction in the pyloroduodenal region (Fig 2). She again responded rapidly to conservative management and was discharged.

On August 6, 1964, she was admitted to the hospital for the third time with an abrupt onset of epigastric . . . [Full Text PDF of this Article]

Author Affiliations
From the Christian Holmes Hospital, Cincinnati.

Footnotes
Reprint requests to Christian Holmes Hospital, Cincinnati, OH 45219 (Dr. Schneider).

Edited by Z. Danilevicius, MD, Senior Editor.

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