47 - Stomach: Carcinoma

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Rodin Number: 42
E Number: none
Donor: Osler
Date: unknown
Size (H x W cm): 23.5 x 25

The specimen shows a stomach with a large ulcerated carcinoma that has perforated (arrow) and formed a fistula with a segment of adjacent bowel (arrow on back view (B)). 

     
B

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Comment

The string adjacent to the perforation − particularly its basket-like appearance − is unusual, but was presumably put in place to keep the stomach-bowel fistula in place for the student to view. The case was reported by Dr J. A. MacDonald in the Canada Medical and Surgical Journal 1882 X: 405-408; Osler had performed the autopsy.

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