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January 28, 1911


Author Affiliations

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

JAMA. 1911;LVI(4):260-261. doi:10.1001/jama.1911.02560040028010

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This case presented a variety of symptoms which, as far as the spleen itself was concerned, were absolutely negative and it was not until autopsy that a large splenic abscess was discovered. In view of the extreme rarity of this condition and of the lack of symptoms indicating splenic trouble it is believed a full report of the case would be not only instructive but of historical interest.

History.  —M. P. V., fireman first class, U. S. Navy, was admitted to U. S. Naval Hospital, Philadelphia, March 2, 1910, with a diagncsis of appendicitis. (Case paper No. 67.) The patient was aged 29 years and 2 months, unmarried and denied syphilis; did not use alcohol or tobacco; had always been in robust health, and, about a year previous to admission. had two months of tropical service. Although the skin had been noticeably bronzed since childhood nothing indicating gall-bladder trouble could

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