Some cases illustrating the surgery of the spleen / by D'Arcy Power.
- Power, D'Arcy, 1855-1941.
- Date:
- [1908?]
Licence: In copyright
Credit: Some cases illustrating the surgery of the spleen / 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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![[Reprinted from St. Bartholomew’s I^spital Reports, VoL XLIV.] BY D’ARCY POWER, F.R.C.S. Every surgeon with much hospital experience in a large city meets with obscure abdominal cases, the obscurity depend- ing in some instances on the complexity of the symptoms, in others upon the rarity of the organ affected. The kidney and appendix are often diseased, and yet they are fruitful sources of obscure abdominal cases owing to the complexity of the symptoms they present; whilst the spleen and the retroperi- toneal connective tissue produce obscure cases because they are only rarely the seat of disease or injury, and the surgeon does not take them into account in his differential diagnosis. During the last few years I have had occasion to treat several patients for disease and injury of the spleen, and as nearly all the cases occurred in hospital practice I thought that a brief account of these cases might fairly appear in the St. Bar- tholomew’s Hospital Reports. I offer them, therefore, with very brief comments. Case I.—Removal of an Enlarged and Displaced Sp)leen— Patient Alive and Well Nine Years Afterwards. History.—A widow, aged 42, mother of two children, the youngest being 25, consulted my colleague. Dr. W. S. A. Griffith, on account of an abdominal tumour which was thought to be ovarian. Examination showed that the uterus and its appendages were normal, and the patient was committed to my care. ' She said that three years and a half previously she had struck her left side just over the lower ribs whilst she was moving a heavy piece of furniture. She dated the beginning of her abdominal discomfort very definitely to the time of this injury, but it was not until two years later that she noticed the increase in](https://iiif.wellcomecollection.org/image/b22419299_0005.jp2/full/800%2C/0/default.jpg)
