W. J. SNAPE, M.D., F.A.C.P.
Despite the close anatomic relationship between the extrahepatic biliary system and the duodenum, jaundice is an infrequently reported finding in duodenal ulcer. Only isolated reports are available in the literature. According to Parks and Fitz,1 the first case reported in the American literature was that of John Homans in 1853. The largest documented series that came to our attention was that of Sir Barkley Moynihan.2 Moynihan collected 17 cases and reported one of his own. It is interesting that of these collected cases, which were mainly from the German literature, 13 were periampullary, involving the papilla. The more recent literature
SNAPE WJ. DUODENAL ULCER AS AN OCCASIONAL ETIOLOGIC FACTOR IN OBSTRUCTIVE JAUNDICE1. Ann Intern Med. ;42:1001–1010. doi: 10.7326/0003-4819-42-5-1001
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Published: Ann Intern Med. 1955;42(5):1001-1010.
Biliary Disorders, Gastroenterology/Hepatology, Peptic Disease, Peptic Ulcer.
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