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December 18, 1897


JAMA. 1897;XXIX(25):1262-1266. doi:10.1001/jama.1897.02440510024001l

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XVIII.—DISEASES OF THE THROAT, CHEST AND ABDOMEN.  Abscess of the liver required surgical treatment when it presented a fluctuating swelling on the outside. It could make its way through the diaphragm and appear outside on the thorax (Petit, Morand) or break through into the lung (Fourcroy), the intestine (Bajon) and stomach, and then heal. Generally it appeared on the lower short ribs, but seldom between the abdominal muscles and the iliac bone, in the right hand groin region, above on the inner side of the thigh (Bajon), where the diagnosis was very difficult. Also a well filled gall bladder was delusive and could be mistaken for an abscess in the liver. This was often and successfully opened; the sooner it was done the more certain was the cure, for there was no dependence on a spontaneous breaking of the same on the outside. Later the pus could separate the adhesions

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