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Article
June 12, 1915

GANGRENOUS APPENDICITIS ON THE LEFT SIDE: A CASE OF VISCERAL TRANSPOSITION

Author Affiliations

Colfax, Wash.

JAMA. 1915;LXIV(24):1986. doi:10.1001/jama.1915.02570500034015

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Abstract

Gangrenous appendicitis occurring with visceral transposition is so uncommon that it is thought well to report the following case:

A married woman, aged 18, who had had no pregnancies and whose previous history was negative, had irregular menses during the past year. Jan. 30, 1915, she took a course of calomel. Next day she felt well. At 11 p. m. she was awakened by a sudden, severe abdominal pain, of a cramping, colicky nature, in the midabdomen, which continued all night and was accompanied by vomiting. Pain continued all next day, but became localized in the left iliac region and there remained constant with occasional vomiting. She took castor oil and applied hot applications with no relief.

February 2 she was driven to town. The trip took four hours. She vomited once and suffered much. Examination forty hours after onset revealed a medium-sized woman, plainly in severe pain; she leaned

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