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January 28, 1888


JAMA. 1888;X(4):109-112. doi:10.1001/jama.1888.02400300013002

Advantages and Risks of Purgation during Convalescence from Abdominal Section.  Mr. John D. Malcolm records an interesting case bearing on this subject. The patient, a woman, æt. 57 years, had had an ovarian tumor removed. On the evening of the third day, and all through the fourth day, there was a tendency to sickness and abdominal distension, but flatus passed freely from the rectum. On the fifth day that portion of the bowel was found to contain fæces, and a small enema produced a copious evacuation, after which the feeling of sickness and the distension passed off. The action of the bowels was followed by considerable pain in the right groin about the position of the pedicle, and the temperature rose in a few hours to 100° in the axilla, but again gradually fell to 98° on the seventh day after operation. The bowels moved seven times between the