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Sunday, March 14, 1898, I was called in consultation to see a man, aged 70 years, who was suffering from acute intestinal obstruction, and suffered from vague gastro-intestinal symptoms for about one year, which had caused him to take medical treatment most of the period, without relief, he had been reduced in general health and strength, although he had maintained a very fair degree of vigor, and had filled his place as clerk uninteruptedly until the previous Thursday, when he was attacked, while at breakfast, with a sudden acute pain in the left side, midway between the umbilicus and the spine of the ileum. He left his breakfast uneaten and went to the office where he continued to suffer from pain and nausea; had an evacuation of the bowels and vomited. At ten o'clock he saw his physician, Dr. Malster, who prescribed and sent him home. The pain did not
LORD JP. INTESTINAL OBSTRUCTIONS FROM GALLSTONES, WITH REPORT OF A CASE. JAMA. 1898;XXXI(17):966–968. doi:10.1001/jama.1898.92450170020002d
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