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August 20, 1898

TREATMENT OF PURULENT TUBERCULAR PERITONITIS BY INCISION, WITH AN ILLUSTRATIVE CASE.

JAMA. 1898;XXXI(8):412-413. doi:10.1001/jama.1898.92450080038001l

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Abstract

Modern aseptic surgery has of late years achieved many magnificent results, but in no field have these successes been so striking and wonderful as in that of abdominal surgery.

Among the later and by no means the least important of the triumphs of abdominal surgery, is the treatment of purulent tubercular peritonitis by free incision into the abdominal cavity, with thorough evacuation of all pus or septic material. Tubercular peritonitis we believe to be always a secondary infection from the tubercular bacillus, which has obtained entrance into the system, either through the digestive or respiratory organs. The following case, which recently came under the observation of the writer, is herewith given.

Was called in consultation with Dr. Wilder on Feb. 28, 1898, to see E. S. K.; mulatto; aged about 14 years. He was fairly well nourished and weighed about 110 pounds. He gave a history of exposure to inclement

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