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Article
January 7, 1911

A CASE OF GANGRENE OF APPENDIX AND OMENTUM: OPERATION AND RECOVERY

Author Affiliations

Surgeon, U. S. Navy WASHINGTON, D. C.

JAMA. 1911;LVI(1):34. doi:10.1001/jama.1911.02560010036010

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Abstract

History.  —The patient, R. R. A., 0. S., was admitted to the hospital at 11 a. m., Dec. 10, 1909. Patient had reported at sickcall on morning of December 8, complaining of pain over entire abdomen, and diarrhea. On December 9, pain became localized in right iliac region. Temperature 99.5 F., pulse 82, respiration 18. On the evening of the 9th, temperature was 101 F., pulse 84, respiration 24; tenderness over right iliac region.

Examination.  —On admission to the hospital the temperature was 101 F., pulse 120 and respiration 22, with pain and tenderness over appendix and rigidity of right rectus muscle. The patient was prepared for operation, which was performed at 2 p. m. Just prior to the operation the temperature was 101.4 F., pulse 122, and respiration 22.

Operation.  —Under general anesthesia (ether) and with the usual aseptic and antiseptic precautions, an incision was made over McBurney's point,

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