In view of the present diversity of opinion concerning the advisability of direct ligation of the bleeding vessel in ulcer of the stomach and duodenum, the following case is reported:
—Mrs. F., aged 26, was seen in consultation with Dr. W. N. Humphrey, Oct. 8, 1906.
—She had been married eleven years and had had one miscarriage at third month; no children. Her general health was good until three years ago, when pain began in the right side of the chest radiating to the back. It was more or less constant and always greater after eating. Some foods caused more distress than others. There was vomiting at irregular intervals, and she was usually worse before the menstrual periods. The patient never vomited blood until Oct. 2, 1906, when a very severe hemorrhage occurred. This was quickly followed by a second and third attack on the same day. On