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Arch Surg. 1948;57(1):178-184. doi:10.1001/archsurg.1948.01240020181016.
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The biweekly surgical conference at the Passavant Memorial Hospital, a teaching unit of Northwestern University Medical School, Chicago, was held at 12 o'clock on March 18, 1948.

Dr. Frank Lounsbury:  Today, we have an interesting clinical problem. It is interesting because it presents not only a problem in diagnosis but also a question in the matter of treatment.Dr. William Daines was the first person to see the patient after she was admitted to the hospital, so I will have him present the case.

Dr. William Daines:  The patient, Mrs. A. F., a 63 year old woman of German descent was admitted to this hospital about noon on Feb. 24, 1948, with complaints of moderately severe pain in the upper abdominal area, nausea and vomiting of about twelve hours' duration.Her past history revealed numerous abdominal operations—an appendectomy in 1917 and an ovarian resection and a uterine suspension. In 1945


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