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October 16, 1937


Author Affiliations

Louisville, Ky.

JAMA. 1937;109(16):1295. doi:10.1001/jama.1937.02780420055024

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To the Editor:—  The report of a case of intestinal obstruction, caused by the ingestion of half of a dried peach, which, swallowed unchewed, passed undigested into the small intestine completely occluding the lumen of the bowel, is of great interest. This patient of Drs. Andrews and Walker of Great Falls, Mont., (The Journal, August 7) is probably not an isolated case.In the forenoon of April 25, 1934, I was called to see an obese edentulous woman, aged 70, who had had severe abdominal pains all through the night. Great distention, fecal vomiting, fever and a very rapid pulse made the diagnosis of intestinal obstruction imperative. She was admitted to the hospital and an attempt was made to improve her desperate condition, but she died in a few hours. Myocardial degeneration and chronic nephritis barred an operation and contributed to the outcome.The postmortem examination disclosed a fusiform swelling

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