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May 31, 1902

SOLITARY ABSCESS OF THE LEFT LOBE OF THE LIVER SIMULATING ABSCESS IN THE ABDOMINAL WALL.

JAMA. 1902;XXXVIII(22):1441-1442. doi:10.1001/jama.1902.62480220027002

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Abstract

Thomas J., 44 years of age, had rheumatism ten years ago, from which he made a perfect recovery. He remained in perfect health and continued at active labor until the morning of April 24, 1901, when he complained of nausea and epigastric pain. He took salts and obtained a copious action of the bowels, which, however, did not afford relief. The next day there was a slight chill, some fever, pain and soreness in the epigastrium, anorexia and restlessness. On April 29 the symptoms were more pronounced. There were no subsequent chills, but the temperature had risen to 102.5 and the pulse to 100. Abdominal respiratory movements were free and equal on both sides. In the left epigastrium there was a tumor or bulging of the abdominal wall, circular in outline, hard, circumscribed and exquisitely tender to touch and percussion. The tenderness was very superficial, while deep pressure from below

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