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November 2, 1889


JAMA. 1889;XIII(18):636. doi:10.1001/jama.1889.02401140022003

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Hydatid Cyst of the Liver. Rupture— Recovery.  Dr. H. C. Markham, of Independence, Iowa (North American Practitioner, October, 1889) reports a case of this description. The cyst was first discovered three years ago. Under rest and alterative treatment amelioration of the symptoms apparently took place. In December last the patient's condition became much worse. The tumor, which appeared at the inferior border of the lower ribs, anteriorly, was now tense and as large as a pint bowl. A diagnosis of hydatid cyst was ventured at this time. A specimen of the cystic contents was obtained with a hypodermic needle, a subsequent examination of which confirmed the diagnosis. Upon the withdrawal of the needle the patient experienced excruciating pain and gave signs of collapse; the tumor meanwhile had disappeared, having evidently ruptured. The cyst refilled and soon reached the size of a fœtal head at term. It was aspirated and

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