Abstract of cases in which a portion of the cylinder of the intestinal canal, comprising all its coats, has been discharged by stool, without the continuity of the canal being destroyed / [William Thomson].

  • Thomson, William, 1802-1852.
Date:
[1835]
Catalogue details

Licence: Public Domain Mark

Credit: Abstract of cases in which a portion of the cylinder of the intestinal canal, comprising all its coats, has been discharged by stool, without the continuity of the canal being destroyed / [William Thomson]. Source: Wellcome Collection.

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    been of a costive habit; and in a few a prejudicial influence is ascribed to the kind of diet. 8. Internal elapsing between the commencement of the ill¬ ness and the discharge of the portion of bowel.—There does not appear to have been any general correspondence, in the dif¬ ferent cases, in respect to the length of this interval. In one case, the discharge of the portion of bowel occurred on the sixth day of the illness (6;) in four, on the seventh or eighth (13, 21, 26, 31.) In considerably the greater proportion of cases it occurred within thirty days. In one, the interval is said to have extended to more than a month (2;) in another, to have been of forty days'* duration (9;) and in one case, (27,) in which the illness was attributed to external violence, more than a year in¬ tervened between the reception of the injury and the discharge of the portion of bowel. 9. Interval, in those cases v^hich proved fatal, between the discharge of the portion of bowel and the occurrence of death. —This interval, also, was very various in its duration. In one case, it extended to only a few hours (17;) in another, to six days (21;) in other single cases to thirteen, nineteen, twenty- one, and twenty-nine days ; in a considerable portion to from six weeks to two months (13, 19, 24, 26, 27, 28, 29;) and in some to from three to five months (30, 31, 32.) 10. Causes of death in the cases which had a fatal issue.— In some of these cases the occurrence of death seems to have been dependent upon or connected with the injury sustained by the intestinal canal, or the inflammatory affection by which this injury was itself produced. In others, the fatal issue seems to have been occasioned by changes occurring in the intestinal ca¬ nal, after a more or less complete natural cure had taken place ; whilst in a few it was attributable to a cause nowise connected, to all appearance, with the injury which the intestinal canal had sustained. The cases in which death seemed to be attributable to changes taking place in the alimentary canal, subsequently to the repair of the primary injury, are five in number. In four of these, the attack seemed to be induced by indigestion (18, 28, 30, 32;) in the other (26) by over-exertion. The cases in which the fatal issue seemed attributable to a cause independent of the affection of the intestinal canal appear to be three in number. In one of these (19) dropsy supervened; in another (31) the patient was seized with typhous fever, about sixteen weeks after the discharge of the portion of bowel; and in the third (35) the patient died after an interval of more than two years, of an attack of malignant fever. Abstracting these eight cases, there¬ fore, there remain eleven in which the death seems to have de¬ pended on the primary disease (17, 20, 21, 22, 23, 24, 25, 27, 29, 33, 34.)