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January 21, 1911


Author Affiliations


JAMA. 1911;LVI(3):195. doi:10.1001/jama.1911.02560030031014

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On Nov. 7, 1910, I was called out of town to see Miss C. D., aged 21. She had been suffering intense abdominal pain accompanied with vomiting for three days. The abdomen was distended and tense; pulse 140; temperature 101. A diagnosis of acute suppurative appendicitis with peritonitis was made, and an operation advised. On opening the abdomen I found pus in the peritoneal cavity with no walling off; there were two appendices containing pus; one was ruptured. One appendix measured 3 by 3/8 inches, the other one 31/2 by 3/8 inches. Their bases were 11/4 inches apart, and each had a mesoappendix. Drainage was instituted, the patient placed in the Fowler position and continuous rectal saline by the drop method was employed for five days. The patient made a slow recovery; at present is able to walk about the room.

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