Case 59-1964

Presentation of Case First admission. An eighty-eight-year-old woman was admitted to the hospital because of abdominal pain. Three weeks previously she experienced the onset of nausea, anorexia and pain that was vaguely localized to the epigastrium and the right upper quadrant of the abdomen. Two days before admission chilliness occurred. She had recently lost an unknown amount of weight. Eight years before entry she was given digitalis because of congestive heart failure. Three years later her physician advised her to omit fatty foods because of abdominal pain after meals. There was no history of vomiting, change in bowel habit, melena, . . .