CHRONIC OBSTRUCTION OF THE SMALL BOWEL

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Abstract
Severe anemias of primary type have occurred in patients with gastro-intestinal disorders often enough to arouse speculation as to the relationship between the two conditions. Cases have been reported which purport to show that the deranged gastro-intestinal tract is a cause of the disease, although no generally accepted cause for primary anemia has been agreed on. The case here reported strongly supports the belief that primary anemia may be caused by certain types of prolonged disturbance of the small bowel. REPORT OF CASE History. —O. K., a man, aged 28 years, a farmer, was admitted to the Robert W. Long Hospital, May 20, 1927, with an extreme anemia of several months' duration. In 1919 he had been operated on for acute gangrenous appendicitis and subsequent to this operation he developed an acute obstruction of the small bowel which was relieved by operation. A third operation was done in 1921, and

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