Case 35-1968

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Abstract
Presentation of Case First admission. A thirty-five-year-old man entered the hospital because of recurrent melena.He had been in good health until eight months previously, when there was an episode of fever and malaise, followed by sudden vomiting of bright-red blood; the stools were black. On examination at another hospital the hematocrit was 26 per cent, the white-cell count 18,500, and the platelet count 462,000. Despite the administration of 10 units of blood the bleeding continued. A laparotomy revealed a liter of straw-colored fluid in the peritoneal cavity; the spleen was very large, and the splenic vein was prominent . . .
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