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March 23, 1907


Author Affiliations


JAMA. 1907;XLVIII(12):1028-1029. doi:10.1001/jama.1907.25220380044002b

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This case is reported as illustrating both the serious results that may follow an abortion and the surgical importance of the omentum.

History.  —Mrs. H., Mexican, age unknown, mother of five children. Family and personal history negative. I first saw the woman June 22, 1906, when she complained of severe pain in hypogastrium. She had had a spontaneous abortion, following a family fight, six weeks before, and had been more or less sick since. She had had no movement of the bowels for four days; temperature was 102.5 F., pulse 110. Her tongue was badly coated and breath fetid. Urination was frequent and she had vomited once just before my arrival, but the vomitus was not saved. I found the patient on the floor on a blanket.

Examination.  —There was no abdominal rigidity and only slight tenderness just above the pubes. Bimanual examination disclosed a slightly enlarged uterus, in normal

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