Twenty-Five Consecutive Cases of Operation for Perforated Gastric and Duodenal Ulcers

SIMPLE gastric ulcer occasionally progresses without causing any inconvenience to the patient, who may be in apparently good health, until the rude awaking due to perforation indicates the serious nature of his malady. The diagnosis of perforation is generally sufficiently obvious, and there are definite sign5 and symptoms which lead one to a correct diagnosis. ^ history of indigestion can usually be obtained, either of recent date and comparatively mild, or of long duration and ofte'1 intermittent. The dyspepsia is associated with pain after f?0<^ and with vomiting, which may relieve the pain. The ??re classic evidences of gastric ulcer, hasmatemesis and melaen^