REFERRED PAIN IN A TRAUMATIC INTESTINAL RUPTURE

Abstract

During the past ten years, the incidence of jejunal ulcer following gastro-enterostomy has been studied intensively. Von Haberer in Europe and Lewisohn in America have been led by its alleged frequence to advocate extensive gastric resections for duodenal ulcer. This discussion has incidentally diffused much information about the symptoms of jejunal ulcer. It causes pain regularly below and to the left of the umbilicus. In view of this well established clinical observation, the following case is of interest: E. L. N., a boy, aged 6 years, was brought, Sept. 3, 1930, to the Cook Memorial Hospital. He had been knocked down and run over by a light automobile. He complained at once and continuously of pain in his stomach. Physical examination showed extensive abrasions and contusions. Lesions were scattered over the arms and legs, and there was a severe bruise about the right eye with a subconjunctival hemorrhage. There was