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March 23, 1918


Author Affiliations

Senior Attending Surgeon, Los Angeles County Hospital LOS ANGELES

JAMA. 1918;70(12):842-843. doi:10.1001/jama.1918.02600120022010

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History.  —Mrs. W. K. P., aged 59, 5 feet 9 inches tall, and weighing 160 pounds, came under my care in November, 1917. About twenty-five years before she had had an operation on the pelvic organs. Following this, according to her own account, her convalescence was stormy and prolonged. Gradually she began to note that she became more and more constipated, and abdominal tenderness was felt, which was general rather than localized. Some four years before she had had a number of attacks of pain referable to the right iliac fossa, none of which were severe enough to put her in bed. About this time she began to suffer with a mild form of mucous colitis, which persisted, gradually increasing in severity, until the time I first visited her. By nature she was of high-strung nervous type, and these features had increased as time passed, until she had become a

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