The subject of this paper is well illustrated by the detail of the following case:
Mrs. C, æt. 28 years, 4 years married, the mother of one child 1 year old; of medium size, light blonde, sought my advice for swelling of the abdomen, which she supposed to be a tumor. She had noticed a gradually advancing enlargement for about two months. On examination fluctuation was marked but diffuse, extending in an evident wave over the abdomen with the patient upon her back. In this position the abdomen was flat and bulging on either flank, with protrusion of the umbilicus. In this position, also, the area of percussion dulness corresponded to the extent of lateral fulness, while the umbilical region was clear, down nearly to the hypogastrium. On changing her position to the side, the upper flank became clear on percussion, while the region of dulness was transferred to the
VAN DE WARKER E. LAPAROTOMY AS A CURE FOR TUBERCULOSIS OF THE PERITONEUM. Read before the Section of Obstetrics and Gynecology, at the Thirty-Eighth Annual Meeting of the American Medical Association, June, 1887. JAMA. 1887;IX(19):583–589. doi:10.1001/jama.1887.02400180007001a
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