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Article
March 28, 1903

GASTROINTESTINAL PERFORATIONS AND THEIR DIAGNOSIS.

Author Affiliations

SURGEON TO ST. VINCENT'S HOSPITAL. LEADVILLE, COLO.

JAMA. 1903;XL(13):828-833. doi:10.1001/jama.1903.92490130012001c
Abstract

INTRODUCTION.  That the most urgent need of the surgeon, when called to a gunshot wound of the abdomen, at the end of the nineteenth century, should be exactly similar to that of the surgeon under the same circumstances during the closing days of the eighteenth century is truly a remarkable circumstance. This painful lack of ingenuity or resourcefulness is a sad commentary on the century, which in many respects has been so brilliant from a surgical point of view.In support of the accuracy of the above statement, a glance at what might be called ancient history will reveal an instance in which exactly similar circumstances gave rise to exactly the same line of thought with the employment of almost the same methods and materials in an effort to arrive at an early diagnosis in a case of suspected or possible perforation of the gut. In "Hunter on the

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