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Article
February 28, 1903

PERFORATION OF THE NORMAL INTESTINE BY AN ASCARIS LUMBRICOIDES.

Author Affiliations

BROOKLYN, N. Y.

JAMA. 1903;XL(9):565-566. doi:10.1001/jama.1903.92490090013001d
Abstract

NARRATION OF A CASE. 

History.  —The patient was American born, 36 years old, a carpenter. On Sept. 24, 1901, about 9 a. m., he walked into the Norwegian Hospital, Brooklyn, complaining of diffuse abdominal pain; temperature, 99; pulse, 90. He gave a history of diarrhea for a week, which had been checked by cholera mixture. The previous night he had taken a dose of castor oil.He was kept under observation, and rapidly grew worse. At 11 o'clock his temperature was 102; pulse, 120. The abdominal pain was localized in the right iliac fossa, and a diagnosis of appendicitis was made. An operation was decided on. At 12:15 p. m. his temperature was 104, pulse 136.

Operation.  —At 4 p. m. the abdomen was opened and a congested appendix was removed. Although there were indications of intestinal perforation, the alarming condition of the patient prevented any

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