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July 7, 1900


JAMA. 1900;XXXV(1):34. doi:10.1001/jama.1900.02460270042007

There occurs a form of localized, circumscribed tuberculosis of the bowel that may be successfully treated by operation. This is the hyperplastic form of tuberculosis, the counterpart of which is seen also in other tissues, such as the skin, larynx and lymphatic glands. The thickening of the intestine may be so marked as to produce a swelling grossly a carcinoma. As pointed out by Crowder1 in his study of two cases of this affection, in one of which a carcinoma of the cecum coexisted, this form of intestinal tuberculosis is most frequent in the region of the cecum. Its history in pathology is brief, having been first described in 1890 by Durante; since then the subject has been discussed extensively by German and French surgeons, but no general summary of the knowledge of the condition appeared in the English language before Crowder took it up and gave it a