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March 20, 1920


Author Affiliations

Washington, D. C.

JAMA. 1920;74(12):803. doi:10.1001/jama.1920.26210120003012c

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M. T. H., a girl baby, born, Dec. 22, 1919, and weighing 8 pounds, presented a large tumor mass about the size of a fist, within the umbilical cord. Transillumination revealed coils of intestine. A diagnosis of hernia into the umbilical cord, was made, and immediate operation was advised. This was at first refused, but next day the parents consented, and the baby was sent to Georgetown University Hospital, where I operated, just twenty-four hours after I had delivered her. Dr. Thomas F. Lowe administered the anesthetic.

The wall of the sac consisted of amnion and peritoneum. The sac contained about 2 feet of large and small intestine. The appendix, though present, was not removed. The intestine was adherent over about half the surface of the sac. The intestine was beginning to show a dark reddish discoloration.

An incision of the umbilical ring and abdominal wall above the cord was

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