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April 21, 1900

SUCCESSFUL RESECTION OF THE INTESTINE FOR MULTIPLE TUBERCULOUS STENOSIS.1

JAMA. 1900;XXXIV(16):1010. doi:10.1001/jama.1900.02460160052015
Abstract

In 1897 Lennander removed about 50 cm. of the ileum, with the corresponding mesenteric glands, for multiple tuberculous stenoses. The proximal end of the bowel was sewed together and the distal end inserted, by means of Murphy's button, just above the closed upper end. Recovery ensued, but the button failed to pass out; it could be felt just above the posterior right vaginal vault. Some months later a second operation was made for removal of the button, which was found in a blind diverticulum formed at the insertion of one end of the resected intestine into the other. The diverticulum and the button were removed. There was absolutely no tuberculosis in the abdominal cavity; nor were there any evidences of tuberculosis elsewhere, hence it may be concluded that there had been a primary tuberculosis of the ileum and its mesenteric glands. Krogius describes a somewhat similar case occurring in a

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