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August 11, 1928


Author Affiliations


JAMA. 1928;91(6):395. doi:10.1001/jama.1928.92700060002010a

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This case is reported merely as a curiosity. I myself have never seen, heard or read of a similar case, although one surgeon of my acquaintance has. It is chiefly of interest from the standpoint of differential diagnosis and its occurrence presupposes inadequate closure of the abdominal incision.

May 4, 1928, a woman, aged 47, was admitted to the Delaware County Hospital with the complaint of pain across the upper part of the abdomen. These pains developed two days prior to admission as colicky, midepigastric pains associated with nausea and vomiting. The vomitus consisted of bile-stained fluid and food. The pain radiated downward to an old abdominal incision. Heat gave incomplete relief. Vomiting continued at intervals until her admission, although it was never of fecal type. The patient had a loose bowel movement a few hours before admission, free of blood. There was no other complaint.

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