TRANSACTIONS OF THE PHILADELPHIA ACADEMY OF SURGERY

William Hunt
1894 Annals of Surgery  
related the history of the following case: A. C., aged twenty-five years, was admitted to the medical wards of the Episcopal Hospital, May 9, 1894, supposed to be suffer¬ ing from abscess of the liver. He had enjoyed good health, although not especially robust, except about three years ago when he had a short illness ushered in by a chill, accompanied by sharp cramp-like pains referred to the lower third of the abdomen. He was confined to bed for a week. About two weeks previous to admission to
more » ... ous to admission to hospital, he was awakened with sharp pains in the right iliac fossa, and in the course of the morning they were followed by a pronounced chill, succeeded by sweating ; through the day he felt nauseated, and in the evening vomited. During the interval of two weeks from the time of his first attack until his admission into the hospital, he had always once in twentyfour hours, and sometimes oftener, a decided chill followed by profuse sweating; pain, referred in the right iliac, umbilical, and hypochon¬ driac regions, was almost continuous; the bowels were watery, and moved daily; the patient was confined to bed and growing weaker. After his admission into the medical ward all his symptoms were referred to the region of the liver, over which there was distinct ten¬ derness. The daily chill and high temperature (106° F.) naturally led to the suspicion of abscess of the liver, and he was transferred to the surgical wards for operation. On examination of the abdomen, a distinctly morbilliform erup¬ tion was seen to be pretty generally distributed over the entire trunk. On the next day an incision corresponding to the right semilunar line 422
doi:10.1097/00000658-189407000-00055 fatcat:7mdbhev3dfaedb23djjdhxgyo4