Case 35141

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Abstract
Presentation of Case*A forty-nine-year-old tanning-factory superintendent was admitted to the hospital because of abdominal pain.Seven months before admission, having been previously well, the patient began to have attacks of abdominal pain. The pain, which was always located in the epigastrium just above the umbilicus, was severe, knifelike in character rather than colicky, and did not radiate. It began after breakfast and usually continued for two or three days; it was not affected by lunch or supper. There were periods of four or five days when the pain was absent. The pain was not affected by position, did not . . .
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