File:Interstate medical journal (1917) (14783741645).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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nalcap. The six hour plate (Fig. 2) shows no gastric residue, theopaque meal has passed beyond the hepatic flexure. The terminalileum, caecum, appendix and the ascending colon are filled with it.The appendix is kinked. In the twenty-four-hour plate the appen-dix and caput caecum were still filled with the opaque meal andhad the same shape and position seen in the six-hour plate. Theterminal ileum, ascending and transverse colon were empty. We con- 672 INTERSTATE MEDICAL JOURNAL eluded from that evidence that the appendix was the seat of chronicinflammation and that it and the cecum were bound down by ad-hesions. The patient was operated on during the month of March,1914, and the Roentgen findings were confirmed. In answer tothose who may suggest that the gastric symptoms may not have beendue entirely to the chronic appendicitis and the resulting adhesions,and that the operation may have cured the neurosis we will statethat shortly after being operated this patient and her husband, who
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Fig. 3.—Appendix kinked and adherent. although living in this country and intending to make this his home.,had never become naturalized, went on a visit to their old home inEurope. They were there when the war broke out, and being stillof military age he was ordered to the colors during the mobilizationwhich was general throughout Europe. He sent his wife to Londonwith instruction to await there news from him, as he intended todesert from his regiment, join her and return with her to theirhome and business in America. He deserted, met his wife in Eng- Granger: X-Ray Reveals Unsuspected Appendicitis 673 land and they secured passage for this country. For days theyfeared arrest realizing fully the consequences of such an eventuality,and it was not until they got off the steamship and had left the pierin New York that they felt safe. When they reached New Orleansthree days later, both were on the verge of nervous collapse, but herformer trouble did not return. After seeing three cases,

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