The Hunterian lectures on the pathology and surgery of intussusception : delivered at the Royal College of Surgeons of England / by D'Arcy Power.

  • Power, D'Arcy, 1855-1941.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: The Hunterian lectures on the pathology and surgery of intussusception : delivered at the Royal College of Surgeons of England / by D'Arcy Power. 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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    ring in a woman. The tumour proved to be a sarcoma, but the intestinal villi contained numerous oval bodies which seemed to be thrombosed vessels. The thrombosis was limited to the villi, for the blood vessels in the deeper part of the mucous membrane and in the submucous tissue con- tained ordinary post-mortem clots. Mr. Power concluded his lecture, which was illustrated throughout with microphotographs, by an allusion to Dr. Vierhuft's and Dr. Sutherland's cases of intussusception occurring in the course of attacks of purpura. He also pointed out the various ways in which a Meckel's diverticu- lum, whether it was open or closed, might cause the rarest forms of intussusception; and he showed a specimen in which an obscure case of intussusception in an old per- son was proved by microscopic examination to be asso- ciated with carcinoma, that most usual cause of invagina- tion in late adult life.] Lecture II.—The Pathology op Intussusception. In the former lecture, Sir, we ascertained some of the minute structural changes which take place in invaginated portions of the intestine, and we were then on the firm ground of fact. In the present lecture I propose to consider some points in the pathology of intussusception, and we shall find that we are almost at once driven to theorise. Every advance in pathology must be made by combining the results obtained from a consideration of anatomical, physiological, and clinical facts, for the science is the mistress of all these its handmaidens. It will therefore be necessary to follow intus- susception along these lines, and after-wards to draw certain conclusions from the premisses thus obtained. Anatomical. It behoves us to make a careful anatomical examination of the ileo-csecal portion of the alimentary canal, because 40 to 60 per cent, of all the recorded cases of intussusception are said to occur at this part of the intestine. My work, there- fore, has been limited to the ileo-colic angle, and I have been very greatly assisted by Dr. Pickard and Dr. Hayne, succes- sively the senior resident medical officers at the Victoria Hospital for Children. These gentlemen have given me many opportunities to examine the ileo-ceecal region in the bodies of children from a few days old up to the age of 15 years. The results of our observations are set out in the preceding table. It should be stated that the mesentery was measured as soon as the body was opened, but the measurements are only