Case 33362

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Abstract
Presentation of CaseA forty-nine-year-old man entered the hospital complaining of epigastric pain and vomiting.For many years the patient had had symptoms of intermittent epigastric burning and gaseous eructation, usually associated with bouts of excessive eating and drinking. X-ray studies ten years prior to admission were said to have shown a duodenal ulcer. Occasionally, he vomited after excesses but was always able to control the symptoms by limiting his diet to crackers and milk for a few days. Two years before admission he had a severe attack of nonradiating epigastric pain, with vomiting, chills and fever; this lasted a . . .

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