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November 2, 1889


JAMA. 1889;XIII(18):647-649. doi:10.1001/jama.1889.02401140033010

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Meeting of the Section on Practice, New York Academy of Medicine—Dr. A. Jacobi on Chronic Peritonitis—Discussion by Drs. Francis Delafield, Wm. H. Thomson and L. Weber,

At the October meeting of the Section on Practice of the Academy of Medicine Dr. A. Jacobi read a paper on " Chronic Peritonitis, with Special Reference to the Differential Diagnosis of Some of its Varieties." Most of the cases, he said, were of a secondary nature, with a great variety of causes. Having mentioned a considerable number of these, he referred to the case of a young woman whom he saw dying of acute peritonitis, who had been affected with purpura for some weeks. At the autopsy the peritonitis was found to have resulted from the rupture of some of the vessels of the diaphragm. He considered the most frequent cause of peritonitis a preceding peritonitis, and stated that in

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