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43 - Stomach: Multiple ulcers

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Rodin Number: 46
E Number: 76
Donor: Osler
Date: 1878
Size (H x W cm): 21.5 x 14.5

The specimen shows the stomach with a piece of liver (L, side view (B)) attached behind. Several shallow ulcers are evident inferiorly (arrows, (A)). A deep focus of puckered mucosa (P) is said to relate to a large ulcer, which is difficult to appreciate in the specimen. However, the base of this appears to be adherent to the liver (side view (B)), suggesting a chronic inflammatory process such as might be seen with a chronic gastric ulcer.

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B

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Comment

The case was documented by Osler in his 1877 – 1879 autopsy logbook (Rodin Case CCXLVII) PDF icon rodin_oslerian_pathology_228.pdf.

It was also reported briefly in the Montreal General Hospital Reports 1880 I: 305. The patient had suffered "for years from dyspepsia", possibly related to the ulceration. He appears to have died of pulmonary tuberculosis.

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