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In the summer of 1880, I visited a negro man on the premises of Mr. Campbell, in Trigg county, in consultation with Drs. Boyd, Edwards and Worthington, of LaFayette. He had suffered from obobstructed intestine for about a week; was 35 or 40 years old, and in the main had good health. The patient presented the following condition: Tenderness and tympanitis over the whole abdomen, right side of abdomen most prominent and resonant; pulse 130; respiration 24; stercoraceous vomiting; skin cool, and tendency to collapse. Rectal examination revealed nothing. After a careful and thorough discussion, it was unanimously agreed to make an abdominal section, entertaining the idea that the patient labored under intussusception, looping of the intestine, or some other form of acute obstruction.
After administering chloroform, and drawing off the urine, the abdomen was laid open from the umbilicus to the pubes. The intestines, distended to their utmost, gushed
FUQUA WM. GASTRO-ENTEROTOMY FOR INTESTINAL OBSTRUCTION. TWO CASES—BOTH FATAL. JAMA. 1883;I(10):305–307. doi:10.1001/jama.1883.02390100017001f
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