Abstract

Of the benign neoplasms found in the alimentary tract, those of the colon and rectum appear to be fairly common, while those of the stomach are much less frequent. In the duodenum and small intestine, however, they may be justly described as rare. The case to be described, namely, a papilloma at the commencement of the jejunum, is in fact so rare as to be almost unknown. Balfour and Henderson have traced 131 cases of benign tumours of the duodenum, of which 4 were papillomata, while Ross Golden has found in the literature only 17 papillomata in this region, two of which are included in Balfour and Henderson's cases. Quite recently, two similar cases have been reported by Bookman and Walters respectively, making a total of 21 in all. Golden's collected cases include the record of a case observed by Cruveilhier in 1835, of a papillomatous adenoma of the duodenum. The exact anatomical relations, however, were not clearly defined, and the former came to the conclusion that its origin was “distal rather than p...

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