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April 20, 1912


Author Affiliations

Hot Springs, S. Dak.

JAMA. 1912;LVIII(16):1190. doi:10.1001/jama.1912.04260040206007

Patient.  —A girl, aged 11, was brought to the hospital Feb. 11, 1912, suffering from typhoid. Five days after admission she complained of pain in the appendiceal zone and within ten hours the pain was so marked as to signify an intense infection and inflammation having all the appearance of an oncoming rupture. The pulse and temperature rose steadily, the thermometer registering 106 F.; the pulse was 164. Vomiting set in and was profuse.

Operation.  —An incision of liberal length was made along the outer border of the rectus muscles. A large amount of straw-colored fluid was released and a portion of the omentum, completely free from any adhesions, presented itself in the opening. The cecum was almost rigid and the appendix not visible. A large semisolid and irregular-shaped mass was felt about 2 inches from the ileocecal valve; it consisted of the appendix, greatly enlarged and inflamed and firmly adherent