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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![The case is exceptionally interesting on account of its rarity. ])r. Bessel-Hagen (Arch. f. Clin. Chir., bd. Ixii. (1900), p. 199) states that five cases of splenectomy for primary sarcoma were recorded up to the year 1890, of which three recovered and two died. Four cases were recorded between 1891 and 1900, of which three were cured and one died. Dr. «J. Collins arren operated upon a case in the Massachusetts General Hospital in 1899 (The Annals of Surgery, vol. xxxiii. (1901), p. 522), but the patient unfortunately died. Dr. Simon (Beitraege zur Klin. Chir., bd. liii. (1902), p. 318) gives details of a successful case which occurred in the practice of Professor Carre at Konigsberg. Dr. Willy Meyer reports a case in February 1906. Dr. G. B. Johnston (The Annals of Surgery (July 19, 1908), p. 62) believes that this was not a case of primary sarcoma, as there were evidences of sarcomatous masses in other parts of the abdomen. This patient recovered from the operation, and was in good health two months later. Ruptured Spleen. I have had three cases of lacerated spleen under my care. Two patients recovered and one died. Case III.—Laeeration of the Spleen—Operation—Recovery. The first case was a boy, aged 16, who was admitted into St. Bartholomew’s Hospital on September 18, 1900, at 2.30 P.M., saying that he had been winded ” by a horse which had kicked him in the stomach whilst he was feeding it. He was in great pain when I saw him, the respirations were quick and shallow, and his abdominal muscles were rigid. No bones were broken, and there was no sign of abdominal bruising except a superficial graze just to the left of the ensiform carti- lage. The pulse was no. The patient passed a fairly good night, sleeping with his thighs flexed upon his abdomen. His condition on the follow- ing day gave no cause for special anxiety, except that he did not rally completely from the shock. His temperature was 98.4 F., his respirations were shallow, his pulse was rapid but regular, and his abdominal muscles remained rigid. He again slept well all night, and on the following day, September 19, his temperature was 100.6° F., his respirations were quick and shallow, and his pulse was 92. At mid-day he suddenly became worse; he vomited; his pulse rose to 120, and his abdomen began to swell; when I saw him it Avas rigid and](https://iiif.wellcomecollection.org/image/b22419299_0011.jp2/full/800%2C/0/default.jpg)
