Case 33351

Presentation of CaseA forty-six-year-old man entered the hospital because of upper abdominal pain.There was a life-long history of "stomach ache" three or four times a year. Six years before admission the patient suddenly and painlessly vomited over a cupful of red blood. He was put to bed and treated with Amphogel and belladonna and placed on a bland diet. From that time he began to have gnawing epigastric pain every two or three weeks, lasting one or two days at a time. The pain responded readily to milk, to sodium bicarbonate or simply to a stricter adherence to . . .