Four cases of aneurism of the arch of the aorta, and a case of diaphragmatic hernia / by John Reid.
- John Reid
- Date:
- [1840]
Licence: Public Domain Mark
Credit: Four cases of aneurism of the arch of the aorta, and a case of diaphragmatic hernia / by John Reid. 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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![the age of 45 without fatal strangulation of the intestine, and have acquired an athletic form of body, when that part of the intestine passing through the opening would with difficulty admit the pas- sage of the little finger, even when thereturningportion was empty, —we can scarcely suppose that the conjunction of the opening in the diaphragm and the infliction of the wound in the parietes of the chest, wereinthis individual amere coincidence. It ought not, how- ever, to be concealed, that a more accurate account of tlie previous history of the patient than we are able to give would have been very desirable. Believing that the protrusion of the intestine into the chest was in tins case the consequence of a wound in the diaphragm, there are some cases on record which bear to it a greater or less resem- blance ; and it is of some importance to know, that the accounts given of them do not discountenance the idea we have form- ed of the nature of this case. Sennertus relates, in a letter to liil- danus,* the case of a man who stabbed himself beneath the ninth left rib, and died about seven months afterwards. On dissec- tion the stomach was found to have protruded through the cor- diform tendon into the left side of the chest.f In this case the seat of the wound in the parietes of the chest, must have been placed nearer the sternum than in the one we have detailed. Am- brose Pare:]: relates the case of a person who died eight months after receiving a penetrating wound in the chest, and in whom a large portion of the colon was found in the cavity of the left pleu- ra. This person had suffered from colic pains after the recep- tion of the wound. Mr Boyle § gives the case of a soldier who received a wound in the chest eleven months before his death. He died with symptoms of peritoneal inflammation, and a great part of the ileum and transverse arch of the colon had passed through an opening in tlie diaphragm, and became strangulated. From the time he received the wound the respiration was af- fected, and even moderate exercise was supported with difficul- ty.' Mr Greetham|| has published a case of a muscular man, between 30 and 40 years of age, who had been wounded by a knife some years before in the left side of the chest, and who died Avith all the symptoms of strangulated intestine. On dissection, the omentum and a part of the colon had protruded through an opening in the cordiform tendon of the diaphragm. He had at ' G. F. Hildani, Medico-Chirurgi, Obser. et Curat. Chirurg. Centuriae. Cent. ii. Observ. xxxiii. 1541. t Vide Rlorgagni de Sedibus et Causis Morborum, Lib. iv. EpiBtol. 54, §. 12 for other cases. t Lib. 9, Cap. 30. § Vol. viii. of this Journal. II Medical Gazette, Vol. x. p. 43. *](https://iiif.wellcomecollection.org/image/b22274741_0017.jp2/full/800%2C/0/default.jpg)
