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The patient who had this rare and unfortunate anatomic phenomenon was a man aged 40 and by occupation a foreman. He was taken with pain in the right lumbar and epigastric regions while at work; the pain was intermittent and gradually became more severe. He was compelled to quit work and go to his home. He became nauseated in a few hours and sent for his physician, Dr. Charles E. Bleakley. The Doctor examined the abdomen but found nothing of a localized character. He administered cathartics, and a slight anodyne for the pain, but the cathartics were ineffectual, and upon seeing him again he gave large doses of cathartics and had this followed by rectal enemata, but this also proved ineffectual. The pain had now become so severe as to require occasional hypodermics of morphia. The Doctor grew suspicious of obstruction and had medical counsel called, but nothing definite was
McLEAN A. AN INTESTINAL OBSTRUCTION, DUE TO AN ABNORMALLY FORMED APPENDIX, ABNORMALLY LOCATED. JAMA. 1898;XXX(14):780–781. doi:10.1001/jama.1898.72440660028001h
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