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September 13, 1902


JAMA. 1902;XXXIX(11):624-626. doi:10.1001/jama.1902.52480370032001i

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The postmortem examination was made by Dr. Fütterer, one-half hour after death. General abdominal tuberculosis of the ascitic variety and slightly enlarged mesentery glands and firm adhesions matting together the whole mass of intestines, was found. No foci were found in the lungs or pleura. There was no old tubercular disease of the tubes. The intestinal mucous membrane was not examined.

Cultures from the peritoneal cavity were sterile and there was no pus infection of the peritoneum.

The points of interest in this case are: 1. The insidious onset of the disease. 2. The persistence of normal temperature. 3. Extreme pigmentation of the skin without Addison's disease. 4. The presence of a tumor in the median line of the abdomen extending from above the umbilicus to the pubis; and the tumor being formed by the greater omentum becoming rolled on itself and filled with fluid. 5. The termination of the

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