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May 14, 1887


JAMA. 1887;VIII(20):557. doi:10.1001/jama.1887.02391450025011

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Dear Sir:  —In a former article in The Journal I exposed the "systems" of rectal surgery practised by numerous Western itinerants and charlatans. In that article I referred to the little rectal "pockets and fringes" or "pockets and papillæ," described by various standard authors, and well known to anatomists as existing at the base of the columns of Morgagni, just above the verge of the anus. A writer of certain lectures and essays on the subject had claimed these as being mainly his own discovery, and urged that they were "lesions," and fearfully bad ones at that; in short, that they should always be snipped out when found. I maintained, on the other hand, that these minute organs were natural, and composed of healthy mucous membrane and connective tissue. I remarked, however, that, like other organs of the body, they sometimes became diseased and required surgical attention, but were not

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