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Fatal Upper Gastrointestinal Hemorrhage: A Study of 200 Cases.

Donald Berkowitz, M.D., F.A.C.P.; Sol Glassman, M.D.; and Charles M. Thompson, M.D., F.A.C.P.
Ann Intern Med. 1964;60(2_Part_1):323-324. doi:10.7326/0003-4819-60-2-323_3
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The clinical and autopsy findings in 200 consecutive cases of fatal upper gastrointestinal hemorrhage have been reviewd. In each instance, the bleeding was either the primary cause of death or a major contributing factor.

In general, the etiologies of the hemorrhage were similar to those generally seen in clinical practices, that is, peptic ulceration of the stomach or duodenum and esophageal varices. However, many unusual and unexpected lesions were also found.

In over 30% of the cases, the bleeding was not recognized clinically, its presence being apparent only upon autopsy examination. Most of these occurred in the older age group


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