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Article
September 1940

PREOPERATIVE DIAGNOSIS OF TORSION OF THE PEDICLE OF THE SPLEENREPORT OF A CASE WITH SPLENECTOMY FOLLOWED BY RECOVERY

Author Affiliations

Surgeon, Colonna House Nursing Home; Consulting Surgeon, Mackenzie Hospital, Demerara Bauxite Co.; Honorary Consulting Surgeon, Colonial Hospital GEORGETOWN, BRITISH GUIANA

Arch Surg. 1940;41(3):781-787. doi:10.1001/archsurg.1940.01210030215015
Abstract

The following case is worthy of being recorded on account of its rarity and the clinical features that led to a correct preoperative diagnosis.

REPORT OF CASE  Doris D., an East Indian girl aged 16 years, was admitted to the Colonna House Nursing Home on the evening of Sept. 8, 1938, with severe abdominal pain, intestinal obstruction and a visible tumor in the lower part of the abdomen.She had had an attack of fever, similar to previous known attacks of malaria, which began at midday on August 3, five days before admission. Later in the same afternoon, without any apparent cause, she felt a pain in the right iliac fossa, at first mild but quickly becoming severe. The pain soon spread all over the abdomen. At about the time of onset of the pain she noticed a mass in the lower part of the abdomen, more prominent in the

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