. Surgery, its principles and practice . No deaths occurred from operation. The remaining thirteen cases, in which there were no symptomscalling for operation on the stomach or the gall-bladder, showed no deaths. Perforation in Typhoid Fever.—The frequency with whichperforation occurs in typhoid fever is illustrated by the recentstatistics collected by J. A. Scott.^^ He estimates that about one-third DUODENAL ULCER. 691 of the deaths in this disease occur from perforation. In 3006 cases thegeneral mortahty was per cent., while the mortality from perforationamong these cases was per c
. Surgery, its principles and practice . No deaths occurred from operation. The remaining thirteen cases, in which there were no symptomscalling for operation on the stomach or the gall-bladder, showed no deaths. Perforation in Typhoid Fever.—The frequency with whichperforation occurs in typhoid fever is illustrated by the recentstatistics collected by J. A. Scott.^^ He estimates that about one-third DUODENAL ULCER. 691 of the deaths in this disease occur from perforation. In 3006 cases thegeneral mortahty was per cent., while the mortality from perforationamong these cases was per cent. Of sixty cases operated upon,thirteen recovered. The diagnosis rests upon the occurrence of sudden pain followed bytenderness and rigidity. The presence or absence of liver dullness andthe leukocyte count are considered of no value by Scott, while a certainproportion of the cases will not exhibit pain or rigidity. To be excludedare pneumonia and pleurisy, urinary retention, thrombosis of the iliacor femoral vein, and
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