Intestinal obstruction : its varieties with their pathology, diagnosis, and treatment / by Frederick Treves.
- Sir Frederick Treves, 1st Baronet
- Date:
- 1884
Licence: Public Domain Mark
Credit: Intestinal obstruction : its varieties with their pathology, diagnosis, and treatment / by Frederick Treves. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
25/534 page 11
![by kinking or bending of the gut. On the otlier liiind, the oincntnin or a free coil of intestine may become adherent to the inflamed serous surface, and thus a condition be produced that may lead to ob- struction.*^ 2. The reduced loop may adhere to the abdominal parietes and become obstructed by bending and by the changes known as traction effects. Examples of this form of obstruction are given in chapter vi. 3. The ad hesions about the reduced and adherent loop may be extensive, and may so contract as to narrow the lumen of the gut by compression. 4. The herniated coil may be retained in the form of a permanent loop by means of adliesions, and this loop, whether an open or a closed one, may lead to obstruction of the intestine, as is fully ex- plained in a subsequent part of this work. In one instance at least a fistula bimucosa was formed between the extremities of the loop. 5. Stricture may follow as a result of damage to the walls of the bowel, ulceration of the mucous membrane, and the like. Several illustrations of this condition will be found in the chapter upon cicatricial strictuVe. C. The great lengthening of the mesentery that is usually found in large hernia? favours especially the formation of volvulus of the small intestine. The connection between these two conditions is well shown in a case reported by Dr. J. K. Fowler, where tliere is little doubt but that a fatal volvulus of the ileum depended upon an unduly long mesentery re- sulting from hernia, t * Bull, (le la Soc. Anat., 1804, page 252; M. Besnier. See also Patli. Soc, Trans., vol. vii., ])age 11)8 ; Mr. Obro. i' For a further account of this matter sec a paper by the author on The Forms of Intestinal Obstruction that may follow after Hernia [Lancet^ Juno 7, 1884).](https://iiif.wellcomecollection.org/image/b21205528_0025.jp2/full/800%2C/0/default.jpg)
