EMANUEL M. RAPPAPORT, M.D., F.A.C.P.
There are few problems confronting the internist more vexing yet intriguing than that of recurrent bleeding from the upper gastrointestinal tract where repeated diagnostic studies fail to disclose the source of hemorrhage. In some cases a definitive lesion is not found despite repeated exploratory operations, and occasionally the mystery remains unsolved even at post mortem.
Most frustrating and bewildering to the clinician, however, are the cases in which lesions presumed to be the cause of hemorrhage are detected by roentgenogram or gastroscopy, yet at operation the surgeon reports that "after palpation and a detailed inspection of the stomach and small
RAPPAPORT EM. GASTRODUODENAL HEMORRHAGE: DIFFICULTIES IN RECOGNITION OF LESIONS AT OPERATION BY PALPATION AND INSPECTION1. Ann Intern Med. ;39:747–756. doi: 10.7326/0003-4819-39-4-747
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Published: Ann Intern Med. 1953;39(4):747-756.
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