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—A Chinaman; aged 64, a laborer, for the past fifteen years had been troubled by a rupture which had gradually increased in size. On several occasions there had been difficulty in reducing the contents, but he had always finally succeeded. He had never used a truss. Four days previous to his admittance to the hospital, the swelling had increased in size and he had been unable to reduce it. He had suffered considerable pain. The bowels had moved once. According to the patient's statement, which was corroborated by that of his friends and relatives, he had not vomited at all.
—The patient was a fairly well-nourished man; pulse was 120; temperature 101; respiration embarrassed. The abdomen was greatly distended and tympanitic. The right inguinal region showed a tense, tender swelling involving the right side of the scrotum. The skin over the swelling was reddened and edematous. There
JUDD JR. A CASE OF STRANGULATED HERNIA PRESENTING UNUSUAL SYMPTOMS. JAMA. 1911;LVI(25):1882–1883. doi:10.1001/jama.1911.02560250018011
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