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August 17, 1912


Author Affiliations

Birmingham, Ala. Surgeon to St. Vincent's Hospital

JAMA. 1912;LIX(7):539-540. doi:10.1001/jama.1912.04270080221017

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A man, 25 years of age, was brought to me with a history of having been injured twelve days previously. At the time of the injury he was standing in the mines by a post near the car track, when a train of cars jumped the track and one of them struck him in the back over the region of the left kidney; the impact of the car threw him against the post. For the first four or five days he suffered pain over the kidney and passed some bloody urine; he then began to have pain over the liver, radiating around the margins of the ribs, and noticed an enlargement in the region of the gall-bladder. He had no rise of temperature and was not confined to bed all of the time.

When admitted to the hospital there was a decided enlargement over the gall-bladder with some tenderness and