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June 7, 1913

RETROPERITONEAL RUPTURE OF THE APPENDIX WITH EXTRAVASATION OF PUS INTO AND GANGRENE OF THE ENTIRE THIGH

JAMA. 1913;60(23):1782-1783. doi:10.1001/jama.1913.04340230028014

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Abstract

I wish to present the following report not so much because of the diagnostic interest attached as because of pathologic findings of rather unusual rarity and variety.

Patient  —Mary R., negress, aged 21, entered the service of Dr. F. A. Besley in Cook County Hospital, Feb. 22, 1913. No history could be obtained, at the time of admission, because of the altered mentality of the patient, who was brought in by the police, unaccompanied. The following facts were obtained twenty hours later from a relative.

History  —Ten days before admission the patient had been seized with a sudden severe attack of abdominal pain, confined to the right side. She became nauseated and vomited repeatedly for twenty-four hours. The pain persisted, the nausea ceased at this time, and two physicians who then saw the case made a diagnosis of acute appendicitis. Five days later when the abdominal pain had lessened in

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