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Perforation of the intestine caused by a blunt, nonpenetrating, vulnerating body, with operation and recovery, is sufficiently uncommon to justify the report of an isolated case.
Early in September, 1907, a middle-aged, robust farmer ate eighteen ears of sweet corn, finishing his repast at 2 p. m. Two hours later, while at work in the barn, he was kicked by a horse, the blow falling just above and to the left of the umbilicus. For a few seconds he did not consider himself seriously hurt, but the pain soon became excruciating. He was assisted to his house, and medical aid reached him within a half hour. At about this time he vomited "two basinfuls" of sweet corn. Morphin, ¼ grain, was administered at intervals.
I was called at 6 p. m., but train connections and distance made it impossible to reach the bedside before 1 a. m., nine hours after
LITTIG LW. INTESTINAL PERFORATION BY ABDOMINAL CONTUSION; OPERATION; RECOVERY. JAMA. 1908;L(7):530. doi:10.1001/jama.1908.25310330038003b
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