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January 20, 1923


Author Affiliations

Albany, Ala.

JAMA. 1923;80(3):181. doi:10.1001/jama.1923.26430300003012c

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In this case Ascaris lumbricoides caused an obstruction of the small intestine, necessitating resection.

Miss R., aged 36, referred by Dr. Mouldon Smith of Ardmore, Tenn., was admitted to the Benevolent Society Hospital at Albany, Ala., Nov. 6, 1922, with intense pain in the abdomen, in the right hypochondriac region. She was poorly nourished, was suffering great shock, and presented all the symptoms of an intestinal obstruction.

The history was negative except that she had had several attacks of pain in the abdomen for the last two years which had been diagnosed as subacute appendicitis.

A median abdominal incision was made. When the abdominal cavity was entered a considerable portion of the ileum was seen to be collapsed, with a definite line of demarcation at each extremity, with beginning gangrene. A large mass was observed; radiating from this mass, there were cordlike structures in the intestine extending from both sides

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