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December 31, 1910


JAMA. 1910;55(27):2296. doi:10.1001/jama.1910.04330270018008

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I report this case not only because of the rarity of diaphragmatic hernia, but also because of the abstruse and puzzling symptoms it presented.

Past History.—  The patient, W. W., a negro butler, aged 23, had had the diseases of childhood; gonorrhea several times, but denied syphilis. He used alcohol and tobacco in moderation, but denied coming in contact with lead in any form. He had never had a similar illness and was well up to the onset of the present trouble. Ten years previously he had been stabbed in the left seventh intercostal space just lateral to the anterior axillary line. The cut was about 2 inches long, through which a mass looking like fat (as he described it) protruded. The wound was sutured under general anesthesia and an uneventful recovery followed.

Present Trouble.—  About 12:30 a. m., July 24, 1910, he entered my service at the Cook County

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