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The preoperative diagnosis of the cause of obstruction of the small intestine is often difficult. The following case illustrates an apparently unique cause of this condition.
REPORT OF CASE
A 46-year-old white woman admitted to New York Hospital in April, 1952, had had increasing cramp-like abdominal pain, nausea, vomiting, abdominal distention, and constipation for four days. The patient had undergone elsewhere the following seven major operations: in January, 1931, appendectomy and suspension of uterus; in January, 1934, bilateral salpingectomy and right oophorectomy; in August, 1937, incision and drainage of left kidney; in January, 1940, amputation of cervix and suspension of bladder; in March, 1949, subtotal gastric resection and cholecystectomy; in February, 1950, hysterectomy; and in April, 1951, left oophorectomy. Following the last operation, the patient had episodes of cramp-like abdominal pain, usually occurring once or twice a month and subsiding within 24 hours. There had been no diarrhea, bloody or
Wilder JR, Barnes WA. OBSTRUCTION OF THE SMALL INTESTINE BY CORPUS LUTEUM CYSTREPORT OF A CASE. JAMA. 1953;151(9):730–732. doi:10.1001/jama.1953.02940090032007c