On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897 / by B.G.A. Moynihan.

  • Berkeley Moynihan
Date:
1906
Catalogue details

Licence: Public Domain Mark

Credit: On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897 / by B.G.A. Moynihan. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    in the Vermiform Appendix, by Mr. Partridge.1—A maid- servant, aged twenty-six, died after five days' illness of acute obstruction. The post-mortem examination showed the small intestines greatly distended, the large bowel quite empty, slight traces of peritonitis. A knuckle of the ileum, immediately above its termination, was found strangulated and much congested, in consequence of having passed through, and become impacted in, a hole or interspace in the mesentery of the vermiform appendix. The strangulated portion of the bowel was of a deep-red colour, and some recent lymph was effused upon its peritoneal surface, as well as upon the surface of the adjacent parts.' [The specimen from this case cannot be found.] This account is very paltry, but is apparently capable of only one explanation. The condition is strictly comparable to the preceding one of Little's, and must therefore be accepted as authentic. Case 5. By Nasse.2—The patient was a man aged forty- six. For six days preceding his admission into hospital he had suffered from severe abdominal pain, vomiting, and constipation. He was very collapsed, with a rapid, feeble pulse ; the vomit was fseculent. Median laparotomy was performed. The small intestines were enormously distended ; the large intestines were collapsed. The intestines were drawn over to the left side of the abdomen and the ileo-csecal region was explored. A loop of ileum was found strangulated in the ileo-appen- dicular fossa, and was released with little difficulty. The strangulated loop was not gangrenous and was replaced within the abdomen. While suturing the abdominal wound the patient vomited faeculent matter ; a quantity was aspirated into the air - passages, and the patient was suffocated. At the post-mortem examination the presence of a large 1 ' Internal Strangulation of the End of the Small Intestine (Ileum), produced by its Passage through an Aperture in the Mesentery of the Appendix Vermiformis,' Pathological Society's Transactions, vol. xii., 1861, p. 110. 2 Archiv fiir Klinische C/iirurgic, li., 1896, p. 919.