SEVERE GASTRIC HEMORRHAGE PRODUCED BY VIOLENT ABDOMINAL MASSAGE

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Abstract
It is fairly well known that severe exertion involving the abdominal muscles can produce hematemesis in patients with peptic ulcer. I can remember a number of such cases. In one instance a traveling salesman, with a big trunk on the back of his car, was lying on his stomach struggling to jack up a rear wheel when suddenly his mouth filled with blood. That a man can put great shearing strain on the movable parts of the bowel that adjoin fixed ones is shown by the recorded cases in which a man, perhaps standing on a chair with his hands above his head putting up a picture, slipped and, in trying to save himself, contracted the muscles of the anterior abdominal wall and tore the duodenum or the first few inches of jejunum so badly that prompt surgical intervention was necessary. The case here reported is that of a man, aged 31

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