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Case Reports
September 1934

RETROCECAL GANGRENOUS APPENDICITIS: COMPLICATED BY SUBDIAPHRAGMATIC ABSCESS, EMPYEMA, ABSCESS IN THE LUNG WITH BRONCHIAL FISTULA AND FECAL FISTULA, WITH OPERATIONS AND RECOVERY

Author Affiliations

BROOKLYN
From the Pediatric and Surgical Departments, the Jewish Hospital of Brooklyn.

Am J Dis Child. 1934;48(3):580-585. doi:10.1001/archpedi.1934.01960160102008

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Abstract

Retrocecal gangrenous appendicitis is not rare. This case is reported because of its unusual complications and bacterial origin, the interesting roentgenographic observations, and the fact that complete recovery followed operations in what appeared to be a hopeless situation.

REPORT OF A CASE  History.—A boy, aged 5½ years, was admitted on Feb. 20, 1933, with the complaint of pain in the lower right portion of the abdomen.His illness commenced three days previously, when he began to suffer from abdominal pain in the right lower portion, associated with slight fever. On the following day his condition was much improved, and he was allowed out of bed. On the day of admission he still complained of occasional cramps in the right lower quadrant.On the day of admission the evening temperature was 103 F., the pulse rate 90 and the respiratory rate, 26. Physical examination revealed no abnormality except slight tenderness

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