S. B., a Negro, aged 24, was admitted, April 14, 1930, to the surgical services of the Cook County Hospital, Chicago, because of a swelling in the right inguinal region, vomiting, and severe abdominal cramps for the past twenty-four hours.
The patient stated that he had had a right inguinal hernia for the past two years. The day before, about 2 p. m., he suddenly developed a sharp, colicky pain in the right inguinal region. An hour later he noticed a round, hard and tender mass in the same area. The pain was followed soon by nausea and vomiting, the vomitus consisting of food material and mucus. About 3 o'clock the pain had spread over the entire abdomen and was especially marked around the umbilicus.
He vomited again at 5 and at 6 a considerable amount of grayish material. He tried to go to sleep but was awakened again by
Fox NI, Mantel FJ, Rabens JI. ACUTE TOXIC NEPHRITIS COMPLICATING ACUTE OBSTRUCTION OF THE SMALL INTESTINE. JAMA. 1931;96(12):943. doi:10.1001/jama.1931.27220380003010c
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