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August 28, 1954


JAMA. 1954;155(18):1577-1578. doi:10.1001/jama.1954.73690360001008

Obstruction of the small intestine is a not infrequent late sequel of acute appendicitis. The obstruction results from the appendix being fixed transversely across the terminal ileum by the fibrous adhesions that may follow the acute inflammatory process. In contrast, it rarely occurs during the acute stage of appendicitis. Equally rare is mechanical obstruction in the patient with a perforated appendix and early generalized peritonitis. A review of relevant literature provides support for these statements.1 The case report that follows is of interest in this regard.

REPORT OF CASE  A 64-year-old woman was admitted to the hospital with the chief complaint of constant abdominal pain with intermittent cramps. Two days previously she had been seized with sudden severe pain in the hypogastrium that lasted about 15 minutes and was cramp-like in character. This pain recurred and persisted in the lower part of the abdomen. She continued to experience short

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