Cases of great enlargement of the stomach : with remarks / by John Home Peebles.
- Peebles John Home, -1867.
- Date:
- [1840]
Licence: Public Domain Mark
Credit: Cases of great enlargement of the stomach : with remarks / by John Home Peebles. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![foimcl to be the stomach, which was distended to such a size as to contain easily twenty measures of duid. The pylorus was thickened and contracted, being altogether surrounded by a carti- laginous ring. The liver was indurated, and the spleen smaller than usual. Case IV.—Bang* gives a case of vomiting in a man of 52 years, which had followed a few days after the exhibition of a strong emetic. It was then of six months duration. All the in- gesta could only be retained a few hours. He complained con- stantly of^ain in the cardiac region on pressure ; but no hardness could be detected there. The bowels were sluggish, the pulse very weak, and there was great emaciation. The patient lived fourteen days in this way after his admission into the hospital. On opening the body, the stomach was found of an enormous size, extending below the umbilicus and to the right iliac region. It contained partly air, which was with difficulty pressed through the pylorus; and partly a great quantity of brown liquid, of a strong acid odour. The right extremity of the stomach contract- ed for about a hand-breadth near the pylorus. The substance hard through the whole circumference ; the diameter the thickness of a finger-breadth ; the opening was much straitened, yet pervious ; many glands of great size, and a number of nuclei in the internal surface ; the intestines greatly contracted ; a gelatinous fluid was effused into the abdomen ; the pericardium much extenuated; and the heart much diminished in size. Case V. is one recorded by Chaussier,-]* of a man 50 years of age, who had been for a long time in infirm health. Pain in the epigastric region, especially after eating; copious vomiting, returning at intervals of four or five days; constipation ; urine scarce ; legs cedematous ; and abdomen much distended. This case was mistaken for dropsy, and tapping was performed. Air, and some pounds of a fluid slightly mucous, frothy, and of a black- ish-colour, escaped. The patient seemed immediately relieved; but very soon he experienced anxiety and feebleness, and he died in the course of the night. On dissection no fluid was found in the abdomen. The stomach was prodigiously distended, and de- scended even to the pelvis. It was discovered that this viscus had been pierced by the trocar. It contained fluid resembling that which had been evacuated by the puncture. The pylorus was scir- rhous, and cartilaginous in some parts. Case VI.—A man aged 31, a vine-dresser, was received into the Hospital of Beaune on the 6th October 1816, for a chronic affection of the stomach. He stated his disease was of three • Selecta Diarii. Tom. i. an. 1784, Sept. Sect. vi. -|- Chaussier, Memoire aur les Functions clu Grand F.piploon. Mem. del’Acad. de Dijon, 1784.](https://iiif.wellcomecollection.org/image/b21696913_0006.jp2/full/800%2C/0/default.jpg)
