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May 19, 1962

X-Ray Seminar Number 11

JAMA. 1962;180(7):544-545. doi:10.1001/jama.1962.03050200028009

Pain and Abdominal Mass Following Appendectomy  John B. Little, M.D., BostonDr. George B. Carter: This 8-year-old boy was well until 2 1/2 weeks prior to admission to the Massachusetts General Hospital, when he developed symptoms of an upper respiratory infection. Crampy abdominal pains developed several days later and a diagnosis of appendicitis was made. An appendectomy was performed at another hospital and the appendix was said to be "almost ruptured." The postoperative period was uneventful; and he was discharged on the fourth day, only to return that night because of nausea, vomiting, and crampy midabdominal pain. X-rays of the abdomen, with barium used to visualize the colon, revealed no abnormality and he was sent home with no specific diagnosis. Recurrence of abdominal pain and vomiting several days later prompted the present admission. During this illness, he had been quite anorectic and had lost 11 lb. There was no history

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