We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Laparotomy for Unexplained Fever

Arch Surg. 1965;90(4):494-498. doi:10.1001/archsurg.1965.01320100038007.
Text Size: A A A
Published online

P ROTRACTED fever occasionally presents a diagnostic problem not resolved by multiple laboratory and roentgenographic examinations or superficial biopsies. Although thorough non-operative evaluation is necessary, long-term observation with repeated laboratory studies is costly and may delay definitive therapy. Diagnostic laparotomy has been utilized in these patients but its value has been questioned.1,2 A review of 46 patients in whom laparotomy was performed for unexplained fever at the University Hospital suggests that if the criteria for surgery are well defined the diagnostic accuracy will be high and morbidity low.

Material  Over the ten-year period ending July 1, 1963, laparotomy was performed in 46 patients to determine the cause of fever. Thtese patients all met the criteria set forth by Sheon and Van Ommen3 in that the temperature exceeded 100.5 F (38 C) orally, lasted longer than three weeks, and was unexplained after careful history, physical examination, complete blood count,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.