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NECROSIS OF CORD STRUCTURES FOLLOWING THE INJECTION TREATMENT OF REDUCIBLE HERNIA

Stephen A. Zieman, M.D.; T. M. Larkowski, M.D.
JAMA. 1936;107(19):1558-1559. doi:10.1001/jama.1936.92770450001011.
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ABSTRACT

Current literature directs attention to the injection method for the treatment of reducible hernias. The assurance of freedom from complications, simplicity of technic, and extraordinarily good end results have stimulated an active interest among the profession.

The following case report, however, will illustrate what may occur when supposedly innocuous material is injected, even by capable hands:

REPORT OF CASE 

History.  —J. C., aged 28, an Italian, presented himself for operation. The history states that last January while at work he developed a large right indirect inguinal hernia. Gradually becoming incapacitated, he was prevailed on to attend a clinic for an injection treatment. One injection of a tincture of thuja solution was given into the region approximating the right internal inguinal ring. A truss had been fitted, and the patient sent home with instructions to return for a second injection. That evening, the entire right lower quadrant of the

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