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I wish to report a very interesting case that came under my care July 31, 1905.
—A woman, aged 72, was suffering from an ovarian cyst of seven years' standing, which had grown to such an extent as to fill the whole abdominal cavity.
—I found her in terrible pain, resembling that of obstruction of the bowels. An enema was given, with no results, and I knew that cathartics would only increase the trouble. I therefore determined to relieve the bowel that I was sure was being obstructed from the pressure of the cyst by tapping the tumor.
—She was taken to the hospital, a few blocks from her home and was prepared for operation. Chloroform and ether were contraindicated by her age and exhausted condition, so I began by injecting a small amount of a 4 per cent. solution of cocain three inches below the umbilicus,
IGEL RL. LAPAROTOMY UNDER LOCAL ANESTHESIA ON A PATIENT, AGED SEVENTY-TWO. JAMA. 1905;XLV(12):852–853. doi:10.1001/jama.1905.52510120036003a
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