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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    area railinsfs which lie Avas mounting: when his foot slipped, the point of one of the rails entering imme- diately internal to the tuber ischii, and two inches from the anus it perforated the rectum twice, and injured the bladder. Mr. Bryant performed cystotomy in order to establish free drainage, and the patient made a good recovery. I feel convinced that the proper treatment to adopt in cases of punctured wound of the rectum through the anus, especially if low down, would be to divide the spliincter and rectal wall freely up to the point of puncture. With a free vent thus established, neither faeces nor flatus can be forced into the areolar tissue or peritonasum ; and thorough drain- age is established. In other respects, wounds of the rectum present no peculiar features for treatment, except, ])erhaps, the restoration of the recto-vaginal septum, for the details of which the reader must be referred to the special gynaecological works. CHAPTER XXX. FOREIGN BODIES IN THE RECTUM. Foreign bodies in tlie reetiini.—Yery various substances may reach the lower bowel, either by descending from other parts of the alimentary tract, or by being introduced through the anus. Any concretions once started in the rectum can go on gradually increasing in situ. Foreign bodies, which pass through the entire alimentary tract, are necessarily somewhat limited in size, yet it is astonish- ing what large and irregularly shaped articles can