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The patient was a Mexican woman, aged 24, and had been pregnant seven months. Nine months previously she had been delivered by cesarean section, and made an uneventful recovery, with the exception of a slight superficial infection in the abdominal wound.
I was called to see her on a Saturday evening. About 2 p. m. the previous day, while at stool, she had been seized with pain in the abdomen of such severity that she was unable to move. Her physician was called, and finding her apparently in good condition she was put to bed and a mild anodyne administered. About midnight the pain recurred in paroxysms of great severity, and her physician was again sent for. He advised immediate removal to a hospital for laparotomy, but the advice was declined. She was catheterized at this time. The next forenoon he called, and again urged her removal to the hospital,
Howson CR. RUPTURE OF CESAREAN SCAR DURING PREGNANCY: REPORT OF A CASE. JAMA. 1918;71(9):728–729. doi:https://doi.org/10.1001/jama.1918.26020350001010
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