Three cases of abdominal section for unusual conditions : (a) tubercular disease of the liver (b) complete volvulus and strangulation of the great omentum (c) traumatic haemorrhage without external wound / by A.W. Mayo Robson.

  • Robson, Arthur William Mayo, Sir, 1853-1933.
Date:
[1895]
Catalogue details

Licence: Public Domain Mark

Credit: Three cases of abdominal section for unusual conditions : (a) tubercular disease of the liver (b) complete volvulus and strangulation of the great omentum (c) traumatic haemorrhage without external wound / by A.W. Mayo Robson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    'y's Transactions.''] Reprinted from Vol. Three cases of for unusual con- ditions :—(a) TN^^f^^!^J^ase of the liver; (b) Complete volvidiisaMr^rangidation of the great omentum; (c) Traumatic hsemorrhage without ex- ternal wound. By A. W. Mayo Robson. Bead January 11, 1895. IMUST apologise for giving in the same paper the three following dissimilar cases, as they only resemble one another in the fact that they were all treated by abdominal section, which in each case resulted in complete recovery. I venture to hope, however, that each may be found to present points of interest sufficient to occupy the time of the Society for a few moments. Case 1. Ttohercular abscess of the liver.—G. R., set. 31, a miner, was admitted to the infirmary on October 17, 1892, with the history of having been perfectly well up to twelve months before, when he commenced work in a damp mine, and immediately began to suffer from intermittent attacks of pain in the right knee and in the back. He was able to follow his occupation up to the 28th of March, 1892, when at 4.30 in the morning, while walking to his work, he felt a sharp pain in the epigastric region, which gi'adually increased in severity up to 12 o'clock, at that time becoming so severe as to necessitate his ceasing work. The pain was intensely agonising, causing him to roll about on the floor with the body doubled up. There was no accompanying vomiting or jaundice. There had been no recurrence of the intense pain, hut a dull aching had been more or less constantly present, entirely preventing him working. Three months prior to admission he noticed a lump at the seat of the pain; this had steadily increased in size. There had been a slight tendency to jaundice during the four months preceding admission, and epistaxis had occurred once or twice a week during the same period. His general health had failed, and he had lost half a stone in weight since June. No cough was present, but there were frequent night sweats. When admitted under the care of Dr. Churton, the patient complained of a dull aching pain in the epigastrium, also high up between the shoulders, as well as in the left shoulder and