Abstract

Dayton, Ohio, March 18, 1896. To the Editor: —In your January issues which I have just seen, Prof. John B. Murphy reports a case of abdominal section for dynamic intestinal obstruction from lead poisoning and considers it the only one published. I also consider it the only one and am prompted therefore to report the following case of my own: A painter 20 years of age, had had no passage from the bowels for five days, according to one report ten days. Abdomen retracted and soft, but tender on one spot near the umbilicus; considerable pain; vomiting several days, so-called stercoraceous at last. He had had very copious irrigations, oil enemata, moderate salines and six drops of croton oil which probably was vomited. His condition was excellent, pulse slow and regular, temperature 99.6 degrees. Behavior peevish, so that operation was deferred as long as practicable. In the interim a third

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