RT Journal
A1 Heatley TF
T1 HEmorrhagic mucocele of the appendix
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1939
FD May 13
VO 112
IS 19
SP 1935
OP 1936
DO 10.1001/jama.1939.62800190003012b
UL http://dx.doi.org/10.1001/jama.1939.62800190003012b
AB V. R., a high school girl aged 16, was admitted to the hospital Aug. 10, 1935. She had been in good health except for what she termed minor attacks of indigestion intermittently during the past two years. The attacks were never serious enough for her to consult her physician. On the morning of August 9 after arising she was taken with a dull aching pain in the right lower quadrant of the abdomen which did not radiate. The patient suffered profound nausea and vomited seven times during the day. There was no history of constipation and her menstrual periods were regular.On admission to the hospital the patient's temperature was 100 F., the pulse 110 and the leukocyte count, 30,700. There was a definite palpable tumor mass in the right lower quadrant of the abdomen, exquisite tenderness over McBurney's point and an early peritoneal reflex. There was no abdominal distention;