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December 16, 1911


Author Affiliations

Instructor in Surgery, Rush Medical College CHICAGO

JAMA. 1911;LVII(25):1969-1970. doi:10.1001/jama.1911.04260120159004

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The following case is believed of sufficient interest and rarity to be reported.

Patient.  —Mrs. S., aged 45, a farmer's wife, began to experience pain in the lower umbilical region about 3 p. m., July 4. The pain growing steadily worse, Dr. W. A. Potts of Lansing, Ill., was called at 3 a. m., July 5. On examination he found a hard, tender lump in the right groin, which had not been previously noticed by the patient. Gentle taxis, which was tried for a few minutes, was extremely painful and without success. She vomited for the first and only time about 3:30 a. m., the vomitus consisting of water taken a short time previously. The bowels had not moved and no flatus had passed for twentyfour hours, although several attempts to have them move had been made July 4. The bowels.had always been regular until this time. An enema at

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