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August 10, 1929


Author Affiliations

Evanston, Ill. Associate in Surgery, Northwestern University Medical School; Attending Surgeon, Evanston Hospital

JAMA. 1929;93(6):456. doi:10.1001/jama.1929.27110060001010

Mrs. H. T., aged 28, twelve hours previous to her admission to the Evanston Hospital accidentally fell, striking the lower right quadrant of the abdomen against the arm of a chair. She did not experience any pain at the time but three hours later began to have abdominal distress. There was vague generalized pain, which was most marked over "the pit of the stomach." A few hours later she began to feel very faint and the pain became severe. When seen at 3 a. m. the abdomen was very tender throughout but especially in the right lower quadrant. There was slight rigidity. The urine was normal. The leukocyte count at 3 a. m. was 13,000 and at 5 a. m. was 19,000. A diagnosis of acute appendicitis was made and the patient was taken to the hospital.

At 7:30 a. m. (Dec. 27, 1928) the abdomen was opened through a