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.
24/40 page 22
![cited out of many others I have met with. In the museum of the Manchester Infirmary, is a prepara- tion (No. 25) of a cancerous ulcer of the stomach, closed up by an adhe- rent colon ; and in Schmidt's Jahrbii- cher,^ a case is recorded of a simple ulcer of the stomach closed up in a similar manner. It is seldom, how- ever, that the original disease, by such adhesions, is arrested. The ulcerative process advances into the adherent organs, or the cancerous de- posit invades them, and then sloughs out in successive patches, until at last, if these organs be hollow, fistu- lous communications result. The peculiarly favourable relation to one another of the stomach and colon for this result, is well shown in the an- nexed wood-cut, which also repre- sents a fistulous communication be- tween the two. Gastro-colic fistula then is, for the most part, one of the sequelae of simple or cancerous ulcer- ation of the stomach. Thus, out of the thirty-three cases collected in this paper, there were (1,5,7,9, 10,11,12,13, 21 from cancer, { 14,15,16,17,18,20, 22, ( 23,26,28,31, 32,33. and 9 or 10 probably from simple ulceration. 2, 6?, 8,19, 21, 24,25, 27 ?, 29, 80.=* From this it would appear, that the proportion of cases resultmg from cancer is more than double that from simple ulceration; and, ns simple ulcer of the stomach is about five times as common an aifection as cancer, Dr Brinton was not far wrong when he conjec- tured that its proportion in the malignant disease is at least tluuce (and probably six to ten times) as great as in the ulcer.' This accounts for the fact, that some pathologists, such as Rokitansky and Bock, s])eak of it as a result of cancer of the stomach, but make no mention of it under the head of simple ulcer. This greater rarity of gastro-colic fistula, as a sequela of simple ulcer, may depend on 1 Vol. Ixxxiv., p. 46. 2 Tlie numbers of the cases will be repeated in the course ot the paper, in order to facilitate comi)arison. , . Article on Cancer of Stomach in Brii. and For. Med. Cinr. liev., xix., 4/9.](https://iiif.wellcomecollection.org/image/b21477966_0024.jp2/full/800%2C/0/default.jpg)
