On gastro-colic fistula : a collection of cases and observations on its pathology, diagnosis, etc. / by Charles Murchison, M.D.
- Charles Murchison
- Date:
- [1857]
Licence: Public Domain Mark
Credit: On gastro-colic fistula : a collection of cases and observations on its pathology, diagnosis, etc. / by Charles Murchison, M.D. 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.
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![but most of her sustenance liad been small beer, which supplied her just with sufficient strength to beg about the town. The peritoneum, stomach, duodenum, colon, gall-bladder, and liver, were all grown together in one confused mass, shooting out on all Post-Mortem- sides small white fibres, which degenerated into a thick and soft body, by which the above parts were in a manner glued together. So strong was the cohesion, that the colon could not be detached from the stom- ach, and there was an open passage from that intestine to the stomach, formed by an ulcer. Hence the colon was empty, and the stomach, in that part which was contiguous to the colon, was very much disfigured with scirrhous tumours and abscesses, but sound at its connection with the oesophagus. II. Dr Abercrombie. Pathological and Practical Researches on Dineases of the Stomach. Edinburgh, 1828. P. 40. A gentleman, aged 56. Previous good health, except slight attacks of dys- pepsia. Began to feel languid, and lose flesh, with occasional History- pain in abdomen. Two or three weeks after this, while walking in the street, seized with vomiting. Vomited matter had odour and appearance of feces. Suffered no inconvenience; but in another week had a similar attack, and, three or four days later, a third. The vomited matter consisted of thin healthy feces, which could not be distinguished from that which he had passed from his bowels the same day. These attacks returned at various intervals; he might have three or four in a day, or be free from them for a week. Never vomited food; what was vomited always resembled what was passed from the bowels. Bowels regular. Lived in tliis way for three months, and died exhausted. A week before death, copious h«materaesis. Stomach contracted, and adherent to parietes of abdomen, and to arch of colon. At place of adhesion, a softened mass, about two inches Post-Mortem- in thickness. Occupying the whole of the great curvature of the stomach, was a mass of ulceration. The pylorus, and whole pyloric extremity, were healthy. In the centre of the ulcerated part there was a ragged, irregular opening, fully two inches in diameter, which made a free com- munication with the arch of the colon; and around the opening there was also some ulceration of the mucous membrane of the colon. Small intestines empty ; large contained feces. III. St Thomas' Hospital Museum. Old MSS. Catalogue, No. 1175, B. Large abscess (scrofulous) between the stomach and transverse arch of the colon, communicating with both, and also opening through the abdominal parietes. This extract has been copied from the catalogue. The preparation itself has been lost or destroyed, and the above reference is marked Cancelled. There is no history, except that the preparation was known to have been an old one. IV. Sx Thomas' Hospital Museum. MSS. Catalogue, 1535, B. The patient died hectic, without any suspicion having been History. entertained of disease in the kidneys or intestines. Extreme result of tubercular disease of left kidney. Various Preparation, adhesions with the surrounding viscera exist, and a connnunica- tion has been established between the cardiac extremity of the stomach and the descending colon, through the pelvis of the left kidney- There was a large abscess in the muscles of the loins of left side, which had bared the kidney, but did not connnunicate witli pelvis.—(Catalogue.) The opening in the stomach is large enough to admit a finger; that in the colon, a swans quill. The ])ylorus is not preserved.](https://iiif.wellcomecollection.org/image/b21477966_0012.jp2/full/800%2C/0/default.jpg)
