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INTUSSUSCEPTION DUE TO INTESTINAL LIPOMA IN AN ADULT, FOLLOWED BY GANGRENE IN THE ABDOMINAL WALL:  PLASTIC OPERATION FOR REPAIR OF ABDOMINAL WALL

J. SHELTON HORSLEY, M.D.
Arch Surg. 1929;18(3):882-891. doi:10.1001/archsurg.1929.04420040114011.
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J. W. M., a farmer, white, aged 67, was admitted to the hospital on Dec. 14, 1927, complaining of great pain in the abdomen, constipation and vomiting. Two days before admission, after eating a big dinner, he was suddenly seized with cramplike pains in the lower part of the abdomen. The pain was severe, and the lower part of the abdomen became somewhat distended. He took enemas and purgatives. There were fair results from the enemas, but the purgatives accentuated the pain and did not produce results. He then began to vomit and soon vomited large quantities of brown, fecal smelling material. A diagnosis of intestinal obstruction was made. The patient had had a somewhat similar but much milder attack about ten years before admission, but soon recovered. He had been fairly healthy most of his life, but for many years had had chronic constipation which had been much worse

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