Abstract
Mrs. H., aged 50 years, consulted me at St. Elizabeth's Hospital in September, 1898, and gave the following brief history: At about the age of 14 she was taken sick with pain in the abdomen. No diagnosis was made by her physician, and, after many months of suffering a spontaneous opening appeared at the umbilicus, with a discharge of large quantities of pus. About twenty years before I saw her, a fecal fistula appeared through the same opening, discharging both pus and feces. On examination a large, hard, immovable mass could be palpated, irregular in outline and extending from the site of the fistula along the left iliac region far into the pelvis. A vaginal examination revealed both anterior and posterior culs-de-sac filled with a hard mass and the uterus firmly fixed. On September 17 an incision was made around the fistula, and on opening the abdomen, the intestines were
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
