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June 7, 1902


JAMA. 1902;XXXVIII(23):1503. doi:10.1001/jama.1902.62480230023002

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On June 23, 1901, I was called by Dr. S. to see Miss B., aged 43, she having had during the previous winter an abscess, situated between the right tuberosity of ischium, and anus, opened and twice operated on by a Philadelphia surgeon.

This had refused to heal. On examination, a line of scar tissue was found to extend from the outer side of the anal sphincter almost to the ischial tuberosity; about the center of the scar was a small opening from which oozed pus and the margins of which were undermined and unhealthy. A probe passed upward and outward into the right ischio-rectal fossa, a distance of three and one-fourth inches, but no opening into the rectum could be detected at this examination. The tract was cleaned by hydrogen dioxid and water, equal parts, and afterward with alcohol 50 per cent.; this was continued for about two weeks,

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