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Article
August 29, 1908

CHRONIC PERITONITIS WITH COMPLETE OBSTRUCTION, CAUSED BY NUMEROUS CONSTRICTIONS, OF A PREVIOUSLY UNDESCRIBED CHARACTER, THROUGHOUT THE INTESTINE.

Author Affiliations

Surgeon of Hope Hospital, Professor of Surgery in Indiana University School of Medicine. FORT WAYNE, IND.

JAMA. 1908;LI(9):719-722. doi:10.1001/jama.1908.25410090001001
Abstract

Patient.  —Dr. L. A. H., aged 35, married, was admitted to Hope Hospital May 24, 1907.

History.  —Grandmother died of cancer. One aunt died of consumption, and an uncle had "white swelling." Aside from children's diseases, the patient had had an attack of pneumonia in 1886, followed by empyema for which a rib was resected and drainage instituted. Complete recovery followed but the diseased chest still remained considerably contracted. Drank excessively whole of 1903, but is a total abstainer now. In December, 1906 (six months before admission), after a full meal of sausage, he was taken with severe abdominal cramps and vomiting, for relief from which he took ⅜ gr. of morphin hypodermatically. The pain was worse in the lower abdomen, and especially on the right side, and some tenderness, localized over the painful area, followed. This attack caused him to quit work for one day. Six weeks later he

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