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March 21, 1908


JAMA. 1908;L(12):961. doi:10.1001/jama.1908.25310380033004

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The following case is not deemed of sufficient clinical importance to merit a more detailed description, but it is of interest in that it shows the possibilities of the body to react to a variety of insults. The case was apparently one of downward displacement of the duodenum, the latter coming in contact with a retrocecal type of appendix. The chronic peritonitis seemingly tied the viscera firmly together and probably the independent contractions of the appendix irritated the duodenum, causing ulceration with perforation into the appendix. The fecal matter probably came from the cecum. The appendix was not thickened and the mucous lining of the canal was intact. Histologic examination was not carried out, owing to the character of tissue preservation.

Autopsy, subject No. 40, male, colored. Cause of death, pulmonary tuberculosis. Abdomen dissectors: Collins and Bennett.

The peritoneal cavity was almost entirely obliterated by a chronic peritonitis. Adhesions were

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