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July 1921

SURGICAL ASPECTS OF DYSENTERY, INCLUDING LIVER ABSCESS.

Arch NeurPsych. 1921;6(1):118. doi:10.1001/archneurpsyc.1921.02190010125019

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Abstract

This work is based on the personal experience of the author and his associates in the Royal Army Medical Corps with the surgical complications arising from approximately 2,000 cases of dysentery, of both amebic and bacillary type. The subject is considered from three standpoints: (1) dysentery as a complication of surgical conditions, (2) various surgical conditions simulated by dysentery, and (3) surgical complications in the course of dysentery. He emphasizes especially the value of appendicostomy, cecostomy, or cecostomy with complete enterostomy in chronic unyielding cases, and warns against too great delay in operating. Surgeons operating on liver abscess are urged to keep a keen lookout for cerebral symptoms. He states that in dysentery abscess of the brain never occurs apart from liver abscess but that, according to Kartulis and Jacob, it occurs in 3 per cent, of liver abscess cases.

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