On gastro-colic fistula : a collection of cases and observations on its pathology, diagnosis, etc. / by Charles Murchison.

  • Charles Murchison
Date:
1857
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Licence: Public Domain Mark

Credit: On gastro-colic fistula : a collection of cases and observations on its pathology, diagnosis, etc. / by Charles Murchison. 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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    torn. XIX , p. 214. Dr H. Green, Treatise on Diseases of Air Pas- sages. Yig\a3, in Prag. Vierteljahrschnft, vol. li., Sup. p. 30. Cruveil- hier, Traits d'Anat. Path., ii., 537-8. Several cases'in Guy's Hosn Museum, see Dr Habershon, Guy's Hosp. Bep., 3d Ser., ii., 215 and 221. Dr Wilks, Tr. Path. Sac. Lond., vi., 179. Dr Ode, Tr. Path, ooc, vn., 52. The fistulaa in these cases have resulted from simple or cancerous ulceration, but in Dr Ogle's case the opening was congenital. In most, the disease appears to have commenced in the oesophagus, where the opening has been much larger than in the trachea; but in one (Guy's Hosp. Museum, Prep. 1711) it evidently commenced in the trachea. 7. Between the (Esophagus and Bronchi; of which the folloAving are references to cases :— Dr Sym, Edin. Med. and Surg. Journal, 1835. Two cases by Dr Berton in Dublin Med. Journal, vol. vii., p. 127. Dr Winn, Med. Times, Old Ser., vol. xiii., p. 386. Cruveilhier, Trait6 d'Anat. Path., ii., 538. Salter, in La7icet, 1853, ii., 411. Habershon, Guy's Hosp. Pep., 3d Ser., ii., 230. In the majority of these cases, the conununication has taken place between the ojsophagus and left bronchus, a circumstance which is fully explained by the anatomical relations of the parts—the more longitudinal course of the left bronchus, and the situation of the cesophagus rather to the left of the mesial line. In one case only, have I found it stated that the opening was into the right bronchus; and here it resulted from the softening of a large scrofulous gland, lying between and connecting the two. 8. Betioeen CEsophagus and Pleura.—A case in the Museum of St Bartholomew's Hospital (Ser. xxiv., No. 14) shows an abscess of the neck, which burst into the right pleura and oesophagus, produc- ing a pleuro-oesophageal fistula and pneumo-thorax. 9. Betioeen (Esophagus and Aorta.—This is a not unfrequcnt ter- mination of aneurism of the aorta. A case also has been recorded by Mr Flower, in which a similar result followed a perforating ulcer of the oesophagus {Dublin Med. Press; xxx., p. 17, and Assoc. Med. Journal, i., 722). 10. Betioeen (Esophagus and Pericardium.—Three such cases have been recorded:— Dr Sym, Edin. Med. and Surg. Journal, 1835; Mr Trotter, Tr. Path. Soc. Lond., 1847 (prep, of this case in Museum of St Mary's Hosp., C. a. 2); and Dr Parkes, Tr. Path. Soc, ii., 40. Fistulas of the digestive passages, below the diaphragm, may be divided into Gastric, Cystic, Intestinal, Intestino-urinary, and In- testino-genital. I. Gastric-Fistuhv.—Of these there are tlie following varieties :— 1. Gastro-Colic Fistula', or communications between the stomach and colon, the subject of the ijrcscnt memoir.