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Josef H. Neiman, M.D.
JAMA. 1953;152(2):141. doi:10.1001/jama.1953.63690020015004h.
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Obstructive jaundice caused by duodenal ulcer is uncommon, and only 39 cases have been reported in the literature of the United States. A 40th case is presented here with a discussion of this disease entity.

REPORT OF A CASE  The patient, a 56-year-old white man, was employed as a packer. He entered the Bronx Veterans Administration Hospital on July 3, 1952. His chief complaint was of jaundice of one month's duration. The patient had been well until June 4, 1952. At that time, there was a sudden onset of severe, crampy, nonradiating, midepigastric pain of one-half hour's duration. This pain caused him to double up. Similar attacks of pain occurred on June 15 and June 23, 1952. On June 5, the day after the first attack, the patient noticed that icterus, associated with dark urine and clay-colored stools, had developed. For eight days prior to admission he had had slight


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