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February 10, 1900


Author Affiliations


JAMA. 1900;XXXIV(6):324. doi:10.1001/jama.1900.24610060006001d

Strangulated hernia in infants and children is by no means so rare as one might be led to suppose from various text-books and monographs on hernia. I have operated on eight patients under the age of 2. years, with one death. The one fatal case was an infant of 8 weeks, and almost moribund at the time of operation. Strangulation had existed for two days. The patient was operated on after midnight, in a poorly-lighted room and under most unfavorable circumstances. The cecum and appendix were present in the sac. The patient rallied after operation, but died two days later. This is the only case in which no attempt at radical cure was made. It was very interesting to note that a considerable portion of my cases were of the cecal variety. In four, or 50 per cent., the sac contained cecum, and in three of these four the appendix