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PERFORATION OF THE DIAPHRAGM: THE RESULT OF INTRA-ABDOMINAL SUPPURATION: REPORT OF UNUSUAL CASES

PERFORATION OF THE DIAPHRAGM: THE RESULT OF INTRA-ABDOMINAL SUPPURATION: REPORT OF UNUSUAL CASES Abstract Ordinarily the diaphragm is considered an efficient barrier between the abdominal and pleural cavities, even in cases of suppuration. While infection may spread in either direction by way of the lymphatics, extension by loss in continuity of the diaphragm is rather unusual and is particularly uncommon in cases of acute generalized suppurative peritonitis. The following cases briefly illustrate three different types of intra-abdominal inflammation responsible for intrapleural suppurative conditions. REPORT OF CASES Case 1. —R. G., aged 44, had had a hysterectomy and a right salpingooophorectomy performed for a tubo-ovarian abscess which involved the tip of the appendix. Twenty-one days later, after a febrile course, a right perinephritic abscess was opened and drained. Intermittent pain persisted in the right side. Dulness developed at the base of the right lung, accompanied by an irritating, nonproductive cough. Later, a moderate amount of foul-smelling, purulent material was expectorated. The patient died on the References 1. Osler and McCrae: Osler's Modern Medicine , ed. 3, Philadelphia, Lea & Febiger, 1925, vol. 3, p. 944. 2. Martinets, quoted by Osler and McCrae (footnote 1). 3. Barnard: Brit. M. J. 1:371, 1908.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

PERFORATION OF THE DIAPHRAGM: THE RESULT OF INTRA-ABDOMINAL SUPPURATION: REPORT OF UNUSUAL CASES

Archives of Surgery , Volume 16 (4) – Apr 1, 1928

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Publisher
American Medical Association
Copyright
Copyright © 1928 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1928.01140040059002
Publisher site
See Article on Publisher Site

Abstract

Abstract Ordinarily the diaphragm is considered an efficient barrier between the abdominal and pleural cavities, even in cases of suppuration. While infection may spread in either direction by way of the lymphatics, extension by loss in continuity of the diaphragm is rather unusual and is particularly uncommon in cases of acute generalized suppurative peritonitis. The following cases briefly illustrate three different types of intra-abdominal inflammation responsible for intrapleural suppurative conditions. REPORT OF CASES Case 1. —R. G., aged 44, had had a hysterectomy and a right salpingooophorectomy performed for a tubo-ovarian abscess which involved the tip of the appendix. Twenty-one days later, after a febrile course, a right perinephritic abscess was opened and drained. Intermittent pain persisted in the right side. Dulness developed at the base of the right lung, accompanied by an irritating, nonproductive cough. Later, a moderate amount of foul-smelling, purulent material was expectorated. The patient died on the References 1. Osler and McCrae: Osler's Modern Medicine , ed. 3, Philadelphia, Lea & Febiger, 1925, vol. 3, p. 944. 2. Martinets, quoted by Osler and McCrae (footnote 1). 3. Barnard: Brit. M. J. 1:371, 1908.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1928

References