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April 25, 1914


JAMA. 1914;LXII(17):1322-1323. doi:10.1001/jama.1914.02560420028013

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The case to be reported is of interest on account of the use of shot as a therapeutic agent, the severe lead-poisoning which followed its ingestion, and, particularly, the weight of the patient's appendix and its contents, possibly the greatest ever recorded. While the view is now generally accepted that foreign bodies can pass from the cecum into the appendix, it was formerly thought that this could not occur. That the old idea was erroneous is strikingly shown in this case by both the number and, relative to the lumen of the appendix, the large size of the foreign bodies found therein.

The patient, an unmarried woman, aged 21, was first seen by one of us (H.) at midnight, Jan. 3, 1914. She said that forty-eight hours previously she had had four teeth extracted under nitrous oxid anesthesia, and had had considerable subsequent hemorrhage. Twenty-four hours after the extraction she

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