The rectum and anus : their diseases and treatment.

  • Charles Bent Ball
Date:
[1887]
Catalogue details

Licence: Public Domain Mark

Credit: The rectum and anus : their diseases and treatment. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    occasionally obstructing the rectum by pressure, are beyond the scope of this work to consider in detail. 5, JLipoma occurs in the interior of the rectum, as a more or less pedunculated growth, and a consider- a})le number of cases have been put on record. Un- less of a size suflicient to give rise to obstruction or prolapse, they do not appear to be characterised by any definite symptoms. Claude Bernard records a case * of a woman, aged eighty-three years, who suffered from constipation. Upon passing her finger up she felt the growth, and detached it, with complete relief of her symptoms. The growth was of about the size of a pigeon's ^gg., and composed of pure fat. Esmarch t mentions a case as occurring in the Clinic at Prague, in which an extensive invagination and prolapse were produced by a small lipoma. The growth having been removed, the prolapse was cured. Virchow| quotes a similar case from the practice of Sangalle, in which two submucous polypi, which were pedunculated, and about the size of hen's eggs, pro- duced an invagination of the colon, and finally a prolapse. And a third case of like nature is reported from Langenbeck's Clinic by Bose; § and cases are on record in which the tumours have been expelled by unaided efforts of the patient to defsecate.j] This, in all probability, is due to the fact that rotation of the l)edicle has taken place, which causes rupture or strangulation. Virchow has shownH that a similar rotation, and final separation, sometimes takes j)lace on the outside of the gut in the pedicles of fatty tumours occurring in the appendices epiploicse, and he thus attempts to account for the occurrence of free * Quoted by MoUifere, p. 525. t Loc. cit., p. 154. X Pathologic desTumeurs, vol. i. p. 379. Paris. § Esmarch, loc. cit., p. 154:. II Castilaiu, Molliere, loc, cit. t Loc. cit., p. 380.