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Updated: June 8, 2025
Signs of acute peritonitis were seen postmortem, the abdominal cavity was full of blood, and the ovary much lacerated.
She then informed me that she once owned a cluster of solitares. The author tells us that at first the diffuse peritonitis probably did not extend beyond the local focus; this of course is exactly what I am contending for from first to last and I insist that there was not peritonitis proper until the occurrence of the fatal relapse.
Old Clymer had often brought men to the hotel to drink and gamble, and to the girl's credit she had avoided them. For several days Doctor Bronson came twice daily to see Rose. He made little comment upon her condition, except to state that she had developed peritonitis, and he was not hopeful. Soon Rose took a turn for the worse.
"The clinical history is in every respect typical and instructive. "It shows us that the origin of peritonitis which is by far the most common, is in a diseased appendix. At the autopsy this was found necrotic and perforated.
"Now the child was suffering from peritonitis, and there was no possible chance of recovery. Yet that child did recover and is now well." The whole audience was staring at him. Hammer took a deep breath and grasped his coat more firmly. "That child, I repeat, is now well. The recovery set in under my own eyes. I saw for myself the return of life to a body that was moribund. The return was swift.
I can believe that there might have been an ulcer extending to the peritoneal covering, and this set up local peritonitis; but there was not at any time before the fatal relapse, a toxic inflammation within the peritoneal cavity; hence there was not diffuse peritonitis, and there could not have been without complete perforation which would have ended the case in death very soon.
=Peritonitis=, or inflammation of the membrane covering the bowels and lining the cavity of the belly, is of excessive rarity in its acute form; and is attended by such general illness and such severe local suffering, that it is impossible to overlook it or to misapprehend its gravity.
I have attended in all twenty cases of this disease, of which four have been fatal. I am not aware that there has been any other case in the town of distinct puerperal peritonitis, although I am willing to admit my information may be very defective on this point. I have been told of some I 'mixed cases, and 'morbid affections after delivery."
"Among these signs pain, either spontaneous or upon touch, a rise in temperature, increased frequency of the pulse and, in general, the signs of severe illness, are to be looked upon as the local and general symptoms of a severe septic inflammation; vomiting, at least in the first stages of peritonitis, was due to decided reflex irritation of the numerous branches of the peritoneal nerves; the fecal discharges at the onset may be explained, but by no means invariably, as due to peristalsis acting reflexively.
If the pulse of either the merchant or the farmer had been due to peritonitis death would have ended either one before his abscess had broken. In fact diffuse peritonitis comes from perforation with discharge of the abscess contents into the peritoneal cavity, and it always spells death.
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