The profession has long recognized that among the various lesions which may produce a peritonitis in the course of typhoid fever, rupture of the mesenteric glands is one, and yet in the many text-books which have been consulted there is not a reference given to a specific reported case. Nothnagel's "System" and Osier's "Practice," for example, fail to give a single instance of a mesenteric gland producing peritonitis; but each mentions it as a possible cause of such a complication in enteric fever. Keen1 records references under this heading, but all of them prove to be cases of obscure peritonitis of unknown origin, where the reporter has only suggested the possibility of a ruptured mesenteric gland being the cause. It would, therefore, seem that such an occurrence is very uncommon, and a search through the recent literature on the subject tends to confirm this view, for I can find but
LE CONTE RG. RUPTURE OF MESENTERIC GLANDS DURING TYPHOID FEVERSIMULATING INTESTINAL PERFORATION; REPORT OF A CASE WITH OPERATION AND RECOVERY.. JAMA. 1904;XLIII(17):1188–1192. doi:10.1001/jama.1904.92500170001a
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