Publisher's Synopsis
Excerpt from North Carolina Medical Journal, Vol. 43: A Semi-Monthly Journal of Medicine and Surgery; Charlotte, January 5, 1899
Examination disclosed a small tumor on right side, the whole abdominal region being very tender; temperature was 101% F; pulse 140. Advised immediate operation, telling patient I would return to town, get the necessary instruments, etc., and return as soon as possible. Patient objected to operation, owing to the fact that he was feeling easier and thought that, with proper care, an operation might be avoided, especially as every attack had been brought on by imprudent eating. I left him and returned to my o?ice in town.
About 12 o'clock, noon, a runner came after me, saying the patient had another attack, more severe than the one during the night. Calling in Dr. T. E. Anderson and Dr. J. F. Long, I went to the patient prepared to operate. He died as I entered the room. That his suffering was intense can readily be believed when I re port that he expired leaning with his abdomen across the back of a chair.
A post-mortem was made. When the abdomen was opened there was a gush of water, in?ammatory exudate resulting from peritonitis. When this was cleared away, I sought for the appendix. I found it about twice the usual length and its extremity firmly ad hered to the pelvic wall, fastened by old, well organized and dense adhesions. About half way of its length it had perforated and after removing it I found on the inside three grape seed.
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