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September 14, 1912


JAMA. 1912;LIX(11):878-879. doi:10.1001/jama.1912.04270090122021

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The following briefly described experience with a case of persistent singultus attending an appendectomy has some features of practical interest.

F. F., man, aged 38, American, machinist, developed an ordinary attack of appendicitis for which I operated at the end of thirty-six hours, when the symptoms were becoming more marked in spite of medical remedies. After removing the enlarged congested appendix containing considerable pus distal to a stenosed lumen, the abdominal incision was closed in the usual manner. The effects of the ether passed off uneventfully except for some slight irritation of a former mild bronchial catarrh which had come on in the line of his work.

On the second day, however, the patient developed a marked attack of hiccup which became more frequent and, under the circumstances, soon began to take his strength to a very noticeable degree. He had never previously been specially troubled with this disturbance. This

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