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SECONDARY OR LATE PERFORATION OF SMALL INTESTINE FROM TRAUMA

WILLIAM DE PREZ INLOW, M.D.
Arch Surg. 1930;21(1):97-112. doi:10.1001/archsurg.1930.01150130100005.
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Not infrequently the surgeon is called on to take care of the patient with abdominal injury caused by blunt force. Commensurate with its importance, this subject has been given much study, and there are many excellent articles dealing not only with certain phases of the subject, such as rupture of the spleen or liver, but also taking up the question of abdominal trauma as as whole. Demel1 has recently presented such a review. In these various contributions much is said about primary rupture or perforation of the intestinal tract, but little is to be found concerning perforations that occur later when the patient is considered out of danger. I shall report two personal cases of such late perforation, supplementing them by illustrative cases from the literature, and from these data I shall endeavor to give a more or less comprehensive discussion of the condition.

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