2025-11-272025-11-27http://hdl.handle.net/2263/105671Clinical history : A 58 year old patient presented with chronic obstructive pulmonary disease (COPD) and consequently died as a result.A chronic duodenal peptic ulcer was found that penetrated the pancreas.Centrilobular emphysema was found in both lungs.The patient had pulmonary hypertention, right ventricular hypertrophy, pulmonary bleeding, acute bronchopneumonia and anal fissures.Diagnosis: Chronic obstructive pulmonary disease with pulmonary hypertension and cor pulmonale.Acute bronchopneumonia, chronic duodenal peptic ulcer and analgetic nephropathy