Case 33042

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Abstract
Presentation of CaseA sixty-six-year-old Greek textile worker entered the hospital because of anorexia and weight loss.Eighteen years before entry the patient had had a six-day episode of abdominal swelling. Seven years later he had had a short period of illness associated with nausea. Four years before admission an attack of sharp epigastric pain had occurred. Two years later, following a tooth extraction, he developed chilly sensations and began to lose weight. X-ray studies were said to have shown gallstones, and fourteen months before entry a cholecystectomy was performed at another hospital. The gall bladder was chronically inflamed and . . .

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