Excerpt from The Medical Journal of the Medical Sciences, 1908, Vol. 136
The vomiting is projectile in its nature, as if there was a sudden violent contraction of the stomach and a forcing upward of the contents. In some cases careful examination during this period of contraction and peristalsis reveals a small hard nodule, cartilage like in consistency, situated sometimes beneath the liver or its border and running directly downward toward the umbilicus. This structure, situated deeply against the vertebral column, is undoubt adly the pyloric end or valve of the stomach as it meets the duodenum.
Some authors like Ibrahim have described singultus in these cases, and also eructations of gas, but inasmuch as these are quite common in healthy breast-fed infants, it seems to obscure the picture by laying any stress upon them.
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