[Skip to Content]
[Skip to Content Landing]
February 13, 1915


Author Affiliations

Pittsburgh Surgeon to Presbyterian Hospital

JAMA. 1915;LXIV(7):581. doi:10.1001/jama.1915.02570330029011

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Mr. W., merchant, admitted to the Presbyterian Hospital about noon, November 1, was referred by his physician with a diagnosis of recurrent appendicitis. The following history was obtained from the patient himself: Twenty years ago, when 18, he had an attack of severe cramp-like pain in the lower right quadrant of the abdomen, accompanied and followed by tenderness in this area. He did not vomit. Since then similar attacks have been recurring with increasing frequency. After the first attack he had no more trouble for nearly a year. He has had temperature elevation at times. The trouble has always been preceded by constipation and relieved by bowel movement. The pain and tenderness have always been in the same location, and have never been associated with vomiting. He thinks the latter attacks, although more frequent, have not been so severe as the early ones.

The present trouble began the night of

First Page Preview View Large
First page PDF preview
First page PDF preview