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Article
October 25, 1902

TRAUMATIC RUPTURE OF THE ABDOMINAL VISCERA WITHOUT EXTERNAL SIGNS OF INJURY.

JAMA. 1902;XXXIX(17):1032-1036. doi:10.1001/jama.1902.52480430014001c
Abstract

My object in selecting the above subject for this year's meeting of the Association is to call the attention not only of surgeons, but also of the general practitioner to the necessity of making an early diagnosis and instituting prompt operative treatment in those serious injuries of the abdominal viscera in which there are practically no external signs of trauma. Various terms have been used for this condition, such as contusions of the abdomen, subparietal or subcutaneous injuries of the abdominal viscera or internal injuries. The term I have employed as the title of this paper seems to express the pathologic and clinical conditions better than any of the above.

NEED OF BETTER DIAGNOSIS AND TREATMENT.  It seems rather strange that so little interest, comparatively speaking, has been shown in the diagnosis and treatment of this class of injuries and so much in those in which there are external signs,

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