A contribution to the study of intestinal sand with notes on a case in which it was passed / by Sir Dyce Duckworth and Archibald E. Garrod.

  • Duckworth Dyce, Sir, 1840-1928.
Date:
1902
Catalogue details

Licence: In copyright

Credit: A contribution to the study of intestinal sand with notes on a case in which it was passed / by Sir Dyce Duckworth and Archibald E. Garrod. 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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    six months previously, but there was tenderness on pressure about the splenic flexure of it. There was still a looseness of the bowel, two to four actions occurring daily, but no sand was passed. Her diet was altogether of animal food, and a little whisky was taken with one meal. The urine was turbid with lithates and deposited uric acid. The tongue was large, flabby, and thinly grooved. A mixture with liquid extracts of cinchona and bael and tincture of cinnamon was ordered, and milk with natural seltzer water was added to her diet. The catamenia were regular. She returned home about the middle of the month. This case presented most of the characters that have been described in the few instances of the disorder that are already on record. It was, however, remarkable for the little pain which was experienced. In most examples of enteric lithiasis this appears to be a marked feature, occurring in paroxysms, lasting several hours, somewhat akin to those associated with biliary and renal colic, and attended with much flatulent distension and vomiting. According to M. Dieulafoy, who has recorded a series of these cases, there is commonly a family history of gout, and he regards the condition as one of the irregular manifestations of this disorder in many, but not in all, instances. In this case there was a distinct gouty history on the father’s side. In a large proportion of the re- corded cases there has been noted the co-existence of muco-colitis, often attended with the passage of mucous casts and shreds. Diarrhoea occurs in some cases, and constipation in others. The subjects of the disorder in two thirds of the cases have been women, and the average age is about thirty-five years. Examples of it have been recorded in children under four years of age. Some of the cases described by Continental observers, as will appear from Dr. Grarrod’s inquiries, are not truly cases of enteric lithiasis, such as that here described, the so- called sand having been proved to consist of vegetable debris and not of inorganic matter.
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