OBSERVATIONS ON THE FLUID CONTENTS OF A CYST OCCUPYING THE EPIGASTRIC REGION OF THE ABDOMEN

HENRY A. CHRISTIAN
1912 Archives of Internal Medicine  
The observations on the fluid obtained from a cyst, probably pancreatic in origin, which are here reported, seem worthy of record even though no satisfactory explanatory theory of the findings can be advanced by the observer. The fluid was obtained at operation from a patient who was admitted to the medical service at the Carney Hospital, March 29, 1911, and whose medical record was as follows : Patient.\p=m-\CarneyHospital Medical No. 2055. Male, aged 42. Family History.\p=m-\Fatherdied of
more » ... -\Fatherdied of sarcoma. Mother died of pneumonia. Brother died of bronchitis. Sister died in infancy. No family history of pulmonary tuberculosis. Previous History.\p=m-\Measles,mumps, pertussis, and scarlet fever in childhood. Pneumonia thirteen years ago. Gonorrhea twenty-three years ago. Habits.\p=m-\Drinksalcohol to excess; chews tobacco. Present Illness.\p=m-\Fourteenmonths ago his right leg between the shoe-top and knee became swollen. Soon after this his abdomen became swollen. He was admitted to the Boston City Hospital, where his abdomen was tapped twice in March, 1910, yielding a clear straw-colored fluid. He remained at the City Hospital about a month, and was discharged feeling fairly well. During the following month, April, it was necessary to tap his abdomen again. After his abdomen was tapped in April he began to notice a sharp pain in his upper abdomen, which radiated to his left shoulder, and a little later he began to have a constant gnawing pain in his abdomen with occasional sharp exacerbations. He lost appetite, and began to lose weight and strength. The latter part of November, 1910, he noticed a "lump" which appeared in the upper half of his abdomen, but which disappeared, or as he expressed it, "broke" in January, 1911. Following this the patient vomited once or twice daily for about a month. Dur¬ ing the time that the "lump" was in his abdomen there was more or less tender¬ ness in this region, he had considerable nausea, and was annoyed by having an uncomfortable full feeling after eating. At this time he coughed a good deal, and said that once he raised sputum containing a coffee-ground sediment, and for four or five days there was red blood in his sputum. About the middle of February, 1911, another "lump" appeared in his abdomen, and this has continued to be present. During the past year he has lost 50 pounds in weight, has become very weak, and has worked only at short intervals, the total amount of time that he has worked being nine weeks. He has lost his appetite, complains of an uncom¬ fortable full feeling in his abdomen, says that as soon as he begins to eat his
doi:10.1001/archinte.1912.00060140017003 fatcat:qdznzvkylfcqdfibnf4j7kydxe