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June 18, 1898


JAMA. 1898;XXX(25):1477-1478. doi:10.1001/jama.1898.02440770045011

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Long Island City, June 7, 1898.

To the Editor:  —I have read with interest Dr. J. F. Baldwin's paper on "Some Unusual Cases of Appendicitis," in the Journal of June 4, 1898, and particularly struck by his reference to the case of complicating general peritonitis (purulent) and his remarks thereon, and reference to Dr. Abbe's statement that the maximum limit of expectancy from an operative standpoint in these cases might be placed at two and one-half days. I have had a number of operative cases of such a character that would tend to substantiate this proposition as a certainty, yet have had several which would negative it, at least in individual cases.Thinking that it might encourage others to persevere even in very desperate cases of this character, I beg to report the following case, which is the most positive and the facts of which are the clearest in my

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