cicatrization. The situation of the ulcer was in the small curvature, and toward the pylorus.
From a woman, set. twenty-six years, who died at the hospital (89, 144) of disease of the breast, with pleural effusion. She had had vomiting for four months, and it was urgent toward the last, with great distress, and a gnaw- ing sensation at the stomach rather than pain ; there was also much thirst, which she freely indulged. 1860.
Dr. C. Ellis.
2199. A defined ulcer, about 1 in. by f in. in diameter ; and from the base there projects the open orifice of a vessel.
From an intemperate man, who entered the hospital (277, 68) with albuminuria, and had been subject to jaun- dice and constipation. Not long afterward vomiting of clotted blood came on to the amount of one or two pints ; and two days afterward, when it recurred, he died. 1868.
Dr. G. C. ShattucJc.
2200. The entire stomach is preserved. Just at the pylorus, and extending into the stomach, is an irregular chronic
ulcer, equal to about f in. in diameter ; not deep, without thickening, and having a brownish base. The pyloric ori- fice is extremely contracted, and led to a most prodigious distention of the organ, so that it occupied the greater part of the cavity of the abdomen. The stomach con- tained several pints of a homogeneous, blackish, soft- solid substance, that had undoubtedly been accumulating there for a long time.
From a woman, set. twenty-eight years, who had had gastric symptoms as long as she could remember, and very urgent vomiting during the last eighteen months ; her emaciation during the last few months being perfectly ex- treme. (Hospital, 250, 216.)
An enormous dilatation of the stomach is reported and figured in the Proc. of the Pathological Soc. of London, Vol. iv. p. 137 ; but the organ was certainly no larger than it was in the present case. 1863.
Dr. J. B. S. Jackson.
2201. A cast, in plaster, showing a portion of the stomach and
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