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April 27, 1889


JAMA. 1889;XII(17):597. doi:10.1001/jama.1889.02400940021007

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At the regular meeting of the Chicago Medical Society, April 15, 1889, Dr. J. J. Alderson presented a section of the small intestine that had been ruptured under the following circumstances. The patient from whom it had been taken was an adult laboring man, wearing a truss for the support of an inguinal hernia. While engaged in some work a loop of intestine was forced out by the pad of the truss. He succeeded in returning it back into the abdominal cavity, but it was immediately followed by acute pain and the rapid development of all the symptoms of peritonitis, terminating early in death. The post-mortem examination revealed much serous fluid freely mixed with fecal matter in the peritoneal cavity, extensive peritonitis with some patches of plastic lymph or pseudo membrane, and a liberal opening through the coats of the section of small intestine exhibited to the Society. Dr. Alderson

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