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Article
March 28, 1908

Subphrenic Abscess Complicating Appendicitis.

JAMA. 1908;L(13):1057. doi:10.1001/jama.1908.02530390055019

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Abstract

Stoughton, Wis., March 21, 1908.

To the Editor:  —Dr. D. N. Eisendrath, in The Journal, March 7, states that few cases of subphrenic abscess have been recorded as a complication of appendicitis. I wish, therefore, to report the following case:O. J. E., male, aged 27, a laborer, had an attack of acute appendicitis Jan. 12, 1908. He had never been ill before. He had the symptoms of a bad case, and became steadily worse until the second day, when his temperature and pulse dropped to nearly normal and vomiting stopped. The pain, however, became worse. I therefore diagnosed gangrene of the appendix. He was at once removed to the hospital on a stretcher and I operated on him within an hour. The appendix was found gangrenous, black with greenish flakes and with a perforation near the tip; it was lying in a collection of thin, very bad smelling serum,

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