Abstract

Perforation of the bowel is one of the most serious complications which occurs in this disease, and it demands prompt attention first from the medical man, next from the surgeon. Before proceeding with the paper proper, I desire to report, in more or less detail, 12 operative cases which have occurred in my practice in the last twenty-one months. These cases, in conjunction with 7 previously reported, 1 making a total of 19, have given eight recoveries, making a recovery percentage of 42.10. Case 1. —Referred to me by Drs. T. L. Disque and Lawrence Litchfield, Pittsburg, Pa. Perforation, peritonitis, death. Patient. —G. K. H., male, aged about 24, had an attack of typhoid fever with a relapse in December, January and February, 1902 and 1903, respectively. History. —The initial course of the fever was mild. Dr. Disque attended him in this attack and made his

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