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Volvulus and Massive Gangrene with Survival

AMA Arch Surg. 1958;76(6):1004-1006. doi:10.1001/archsurg.1958.01280240162028.
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Report of Case  A 25-year-old Persian villager was admitted to the American Christian Hospital at 8:45 a. m. on May 29, 1950. He had come by bus a distance of 60 kilometers, from his village. His chief complaint was severe abdominal pain. The pain was of 24 hours' duration, gradual onset, and cramping character and was generalized over the entire abdomen. With the passage of time the pain had become progressively severer. The patient had vomited several times and had had one bowel movement on the day prior to admission. He had been in good health before the onset of his present illness. He was in shock and in excruciating pain, thus being unable to give a detailed history.On examination the physical findings were as follows: temperature 95.4 F; pulse 96 a minute; blood pressure 0. The patient was a well-developed and well-nourished man, appearing of about the stated


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