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April 12, 1919

TORSION OF AN ENLARGED HYDATID OF MORGAGNIAS THE CAUSE OF ACUTE ABDOMINAL DISTURBANCE

JAMA. 1919;72(15):1072-1073. doi:10.1001/jama.1919.02610150030010

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Abstract

The occurrence of a small cyst with a stringlike pedicle, having its attachment to the lower margin of the fimbriated extremity of the fallopian tube, is frequently observed. These are generally considered as derived from some persistent remnant of the wolffian body or its duct, and their presence has little pathologic or other significance.

As a perusal of the available literature has been most unfruitful in bringing to light evidence of their possible pathologic importance, an instance that recently came under my observation may be of interest in showing that a cyst of this character, by virtue of its long, attenuated pedicle, may be subjected to torsion and give rise to acute abdominal disturbance of unusual severity.

REPORT OF CASE 

History.  —Miss E., aged 18, domestic, who first consulted me, Feb. 5, 1918, on the preceding day had been rather abruptly seized with cramping pains in the lower abdomen, especially

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