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Article
August 11, 1906

PYO-PNEUMO-APPENDIX, DUE TO OBSTRUCTION BY A FECAL CONCRETION.

Author Affiliations

Professor of Surgery, Indiana Medical College, Medical Department of Purdue University; Surgeon to Hope Hospital. FT. WAYNE, IND.

JAMA. 1906;XLVII(6):435. doi:10.1001/jama.1906.25210060039003a

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Abstract

Inasmuch as I have never met with a similar condition in a large experience, and have been unable to find a similar case reported in the literature at my hand, including the works of Deaver, Mynter, Lockwood, Holmes, Kelly, Maylard, Douglas and Hemmeter, I deem the following case worthy of record:

Patient.  —Mr. D., a Lutheran preacher, aged 32, American, was referred to me by Dr. Cook of Bluffton, Ind. He entered Hope Hospital May 14, 1906. The following history was obtained.

History.  —He had never been seriously ill before. He ate heartily of fish one week ago and has had some nausea and heaviness in stomach every since. On May 10 abdominal pain commenced and on May 11, centered itself in the appendix region. He has vomited continuously for the past twenty hours. Pain is becoming worse.

Examination.  —He is a well-nourished, dark-complexioned man. The abdomen is retracted, with

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