Transactions of the Medical Society of the State of North Carolina [serial] 48 (1901)

Cover Transactions of the Medical Society of the State of North Carolina [serial] 48 (1901)
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Sunday morning, thirty-six hours or so later, the bowels were finally moved, only, however, after the most strenuous eiforts. The pain localized with exquisite tenderness, distended abdomen, rise of tempera- ture to 103 degrees, quickening pulse of 112, flushed face, with anxious expression, and distinct apathy preceded, in fact ush- ered in the slow consent of the patient to any surgical inter- ference.
On opening abdomen a black gangrenous appendix wrapped in a necrotic portion of omentum, an
...d buried in between coils 146 REPORT OF SECTION of the ileum was found. It extended over brim of pelvis and laid adherent to anterior surface of sacrum. There was a Avide area of localized peritonitis with thick layers of pyogenic mem- brane between coils of gut, and also on the parietal peritoneum, and lining the iliac fossa.
Appendix was excised and iliac fossa drained. For the first three days the patient was extremely ill, but after that the con- valescence was uninterupted.
The keen alertness and ever constant watchfulness of this patient's attending physician saved the day.


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