Case of diaphragmatic hernia.

Date:
[1863], [©1863]
Catalogue details

Licence: Public Domain Mark

Credit: Case of diaphragmatic hernia. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    11/18 (page 43)
    resulted from malformation, and in which the patients nevertheless survived to adult or even to middle or advanced age. Dr. Bowditch has published a case in which this defect was found in a boy of seventeen, who died from a fracture of the spine.* In Dr. Monro's f work on the Morbid Anatomy of the Gullet, Stomach, and Intestines, a case is related which occurred to Dr. Patterson of Ayr, in a female twenty-two years of age. Kiverius;}: relates a case in a man of twenty-four; Sir Astley Cooper,§ one in a female of twenty-eight; Petit,|1 one in a man of forty; Forlivesi,^ one in a man of forty-two; and Sir Astley Cooper** quotes from Dr. Leacock the report of a case which occurred in a man forty-nine years of age. The gentleman whose case is recorded by M. Chauvet,f'j' of Toulon, was a Lieutenant-Colonel who had seen active service, and may thei'efore be inferred to have been at least of middle age; and Vetters' || case is said to have occurred in an old man. In the cases of hernia which result from accident the diaphragm is either found to have been perforated by stabs with swords or other sharp-pointed instruments, lacerated by the ends of broken ribs, or ruptured by violence without material injury of the adjacent organs. In most of the cases of this kind the injuries prove rapidly fatal, but in some the patients survive for a short time, and yet in others the recovery is complete and the patient dies from an entii-ely independent affection, or from secondary effect of the injury. A case is related by Ambrose Pare,§§ in which the patient died eight months after a pene- trating wound of the diaphragm. Mr. Bayle|||| has recorded an instance in which the patient was wounded eleven months before. In the case related by Dr. Eeid,^^ the injury had been inflicted fifteen months be- fore, and in that detailed by ]VIr. Greetham,*** four years had elapsed since the receipt of the wound. * Treatise on Diaphragmatic Hernia. Buffalo, 1853. t Edinburgh, 1811, p 640. X Obs Med. et our. centuria iv,; Obs. Ixxvii.; Opera Mod. Univ. Lugd., 1679. § Op. cit., pp. 69. II Traits des Malad. Chir., T. ii., 1790, p. 229. H BuUetino della Scienzo Mediche, 1842, quoted in Gaz. Mod. do Paris, 2'« sovie, T. xi-no, annee, 1843, p. 192. Op. cit., pp. 73. tt Mom. do I'Acad. Royaledes Sc., ann^e, 1729. Paris, 1731, p. 11, Obs. 2. XX Aphorismen aua dor Pathologischeu Anatoinie. Wicn, 1803, § 158, p. 144. j§ Pareus, Lib. ix. cap. 30, quoted in Sopulchretnm Bonoti, Lib. iv., Sect, iii.; De Vulnoribus, § 8. See also Dr. Keid's Paper, Ed. Mod. aud Siirp;. Journal, 1840, vol. liii., for this and the three following cases. nil Ed. Med. and Surg. Journal, vol. viii., 1812, p. 42. The question chiefly disfcussod by Dr. Reid is the dopondenco of the aperture in the diaphragm on the stab tho patient had received, and ho clearly establishes that point. **• Load. Mod. Gaz., vol. x., p. 43.