Phlebitis and thrombosis / by Warrington Haward.

  • Haward, Warrington.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Phlebitis and thrombosis / by Warrington Haward. Source: Wellcome Collection.

    62/120 page 42
    Thrombosis is also met with in connection with opera- tions for gastric ulcer and other abdominal diseases. Of fifty cases of operation at St. George’s Hospital for per- forated gastric and duodenal ulcer recorded by Mr. T. Crisp English, there were three cases of thrombosis, all of the veins of the left lower extremity.1 Dr. A. H. Corder, of Kansas, has collected 232 cases of phlebitis following abdominal and pelvic operations. In 213 cases the left saphenous or femoral vein was affected. Dr. Corder asserts that phlebitis occurs in about 2 per cent, of all abdominal operations, and is especially frequent after operations on patients anaemic from haemorrhage, as, e.g., abdominal hysterectomies for bleed- ing fibroids.2 There still remain a certain number of cases of throm- bosis and phlebitis in which no association with any precedent disease or injury can be traced, but which occur in apparently healthy individuals. This is the class usually spoken of as ‘ idiopathic.’ In the light of recent researches and increasing facilities for the detection of micro-organisms, it seems probable that some of these are really of infective origin, although the source of infection has not always been discovered. But there are others in which neither clinical nor pathological evidence of infec- tion can be obtained, and of which it must be admitted that the origin is obscure. Sir James Paget related two such cases.3 In both of these the upper extremity was affected, and the patients were healthy men. In the first case 4 inches of the axillary vein could be 1 Transactions of the Royal Medical and Chirurgical Society, vol. lxxxvii., p. 27. 2 Journal of the American Medical Association, December 9, 1905, p. 1792. 3 ‘ Clinical Lectures and Essays,’ p. 505.
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