Abstract: | A female patient, aged 24, Hospital number 108916, was admitted to the St. Eliza_
beth''s Hospital on November 24, 1943, with the complaint of intermittent attacks of dull
aching pain over the left iliac region for 3 days, and amenorrhoea for 5 months. Star-
ting at 3 a. m. on November 21, the patient was awakened by a sudden pain in the left
iliac region accoppanied by a sense of severe abdominal distensiom This pain lasted for
about seven hours, disappeared and returned for another few hours. Patient had about
six such attacks on the first day, each lasting for a few hours. There was no fever, no
nausea and no vomiting. On the second day the pain became more severe and con-
tinuous. Late in the evening, a doctor was called in and the patient received an injec-
tion which she believed to be morphine. This relieved her only for a few hours. On the
third day, the pain became unbearable; she began to have nausea and vomiting. She
then came to this hospital. On the day of admission she had three attacks of vomiting.
There was no vaginal bleeding tbroughout. Patient was constipated for four days. |