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iliac region, which had come on suddenly four days before operation, slight fever, and a tumor in the right abdomen. A diagnosis of intraperitoneal abscess was made. A piece of omentum as large as the palm of the hand and dark blue in color was found. Its distal portion was adherent to an epiploie appendage on the ascending colon and its proximal por¬ tion was continuous with the remainder of the omentum by a narrow pedicle, which was twisted on itself five or six times, causing strangulationdoi:10.1001/jama.1904.92490570022002a fatcat:zv5q2ghxuvghhb5iab3xg33dpa