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An Italian, æt. 45 years, who had lived in America and the valley of the great lakes for five years, was brought to the Emergency Hospital with a tumor occupying the left abdominal cavity. His history showed that he had had repeated attacks of malarial fever, which had been treated with quinine. Three years ago he first noticed the tumor in the abdomen, and found himself growing weaker than the previous attacks of ague accounted for. For about a year he had been unable to work owing to the shortness of breath caused by the pressure of the tumor on the diaphragm. He had been constantly under medical care. Had had mercurial and iodine ointments rubbed over the tumor, had taken medical treatment from quacks as well as regulars, but steadily grown worse. He solicited an operation. I examined some of his blood taken from his gums, and could detect
WYMAN HC. LIGATION OF SPLENIC ARTERY FOR CURE OF HYPERTROPHY OF SPLEEN.A Paper read before the Wayne County Medical Society, May 2, 1889.. JAMA. 1889;XII(22):764-765. doi:10.1001/jama.1889.02400990008002c