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Article
May 1940

IMPORTANCE OF SIMPLE ULCER OF THE RIGHT SIDE OF THE COLON IN DIAGNOSIS OF ABDOMINAL DISEASE

Author Affiliations

BOSTON
From the Surgical Service of the Peter Bent Brigham Hospital and the Department of Surgery of the Harvard Medical School.

Arch Surg. 1940;40(5):959-972. doi:10.1001/archsurg.1940.04080040141013
Abstract

Opportunity to study 6 instances of so-called simple ulcer of the cecum and ascending colon has made evident the seriousness of this relatively rare lesion and the complications which it causes. A knowledge of the attendant symptoms is of especial importance for all those concerned with the diagnosis of abdominal disease, because of the bizarre symptoms, the gravity of the complications which usually ensue and the accompanying high mortality. Direction of attention to the cecum when inflammatory disease of the right lower quadrant of the abdomen is present is especially important whenever the diagnosis of appendicitis is uncertain or the appendix is known to be absent. That the diagnosis is difficult is evident from the fact that it was made correctly before operation in only 1 case reported in the literature.1 A correct preoperative diagnosis was not made in any of my cases. Nevertheless, familiarity with the condition has

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