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APPENDICITIS; WITH ORIGINAL REPORT AND ANALYSIS OF ONE HUNDRED AND FORTY-ONE HISTORIES AND LAPAROTOMIES FOR THAT DISEASE UNDER PERSONAL OBSERVATION.

J. B. MURPHY, M.D.
JAMA. 1894;XXII(12):423-427. doi:10.1001/jama.1894.02420910021001d.
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ABSTRACT

(Concluded from page S89).

Case 110.—Date of operation Aug. 17,1893. Operator, Dr. Murphy. Case occurred in practice of Dr. Pigall. R. S. B., aged 33 years; male. Post-Graduate Hospital. Patient was kicked on July 31 in the right side by a man. The same night, at 2 a.m., he was attacked with sudden pain in right iliac region, followed by fever, tenderness and tympanites. These symptoms continued up to the time of operation. Examination: Large tumor in right iliac region, extending almost to umbilicus; no fluctuation could be detected; no edema or redness of the wall; dull on percussion, both superficial and deep. A differential diagnosis was made between rupture of kidney, rupture of cecum and appendicitis in favor of the latter. Operation: Lateral incision; abscess wall adherent to anterior wall of abdomen; general peritoneal cavity not opened. Abscess circumscribed; drained; appendix not removed; recovery.

Case 111.—Date of operation Aug.

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