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November 1933

INTUSSUSCEPTION ASSOCIATED WITH TUBERCULOSIS: A CASE IN AN ADULT

Arch Surg. 1933;27(5):868-877. doi:10.1001/archsurg.1933.01170110053004
Abstract

The following case of enteric intussusception which recently came under my observation presented some puzzling features, both as to immediate cause and ultimate result:

History.  —R. O., a man, aged 32, was admitted to Knickerbocker Hospital on April 30, 1932. He was very emaciated and acutely ill. The onset of illness was two days previously, when he suddenly felt a dull pain in the region of the umbilicus. Half an hour later he vomited mucous material, and within a few hours some bright red blood. After that, the vomitus was black. There was no bowel movement for two days. Numerous enemas brought no results. The abdominal pain became sharp after his admission to the hospital. The abdomen was slightly distended, with a boardlike rigidity. No peristalsis was visible. There was tenderness just below the umbilicus, where an indefinite mass was felt. Palpation of the abdomen induced peristalsis and cramps.The

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