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September 22, 1917


Author Affiliations

Orlando, Fla.

JAMA. 1917;LXIX(12):997. doi:10.1001/jama.1917.25910390001016

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Volvulus is one of the rarer conditions of the intestinal tract which produces ileus. The case herein described is of unusual interest because of the nature of the onset and the portion of the intestine involved and its position.

E. S., a man, aged 62 years, worked for forty years in cotton mills as operator and later as overseer. He has had hemorrhoids and chronic bronchitis for forty-five years, but rarely consulted a physician for these conditions and never for any other. In December, 1915, while digging a path in the snow, he had a sudden attack of pain in the abdomen which disappeared in a few moments. Later, tenderness developed, followed by pain and vomiting. A diagnosis of appendicitis was made. Operation was advised but refused. Two hypodermics of morphin relieved the pain, and after two days' repeated use of high enemas, the bowels began to move. The patient

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