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December 15, 1900


JAMA. 1900;XXXV(24):1558. doi:10.1001/jama.1900.02460500044002

The diagnosis of intra-abdominal disease is at times surrounded by so many difficulties that the clinician can not too securely fortify himself against error; but even the most careful and well-informed observer may occasionally be forced to exploratory operation in order to determine the exact nature of the conditions present and to afford the relief that seems urgently necessary. It is well-known that the bowel may become not alone incarcerated in natural or adventitious openings or loops, but also twisted on itself. The omentum, likewise, alone or together with the intestine, may be herniated and, like other organs with a pedicle or analogous attachment, it may undergo torsion, which, if not relieved, must terminate in gangrene and fatal peritonitis. The literature of such twisting of the omentum seems to be scanty, and the difficulty of recognizing the condition apart from operation is almost insurmountable, by reason of its apparently constant