Five cases of inguinal bubo / by G.H. Colt.

  • Colt, G. H.
Date:
[1907]
Catalogue details

Licence: In copyright

Credit: Five cases of inguinal bubo / by G.H. Colt. 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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    The live cases recorded below were admitted into •3t. Bartholomew’s Hospital under the care of Mr, D’Arcy Power, and I am indebted to him for permission to publish them. They are recorded because they are common cases and because the method of treatment in cases of bubo is not as satisfactory as one could wish. It is probable that if it had been possible to admit these patients at once as in-patients to the hospital some of them would have been spared the long illnesses which were their lot. It would have been possible to watch the course of their disease more accurately and to operate if necessary at a time of election rather than be driven to operate by the adverse course of the disease, but it is impossible to admit all such cases as in-patients because of the lack of accommodation. In the first place it will make the description shorter if the area of infection as a possible cause of inguinal bubo is mapped out. The exact boundaries of any lymphatic area are somewhat indefinite, especially towards the middle line of the body, and the arrangement of the glands and terminal lymphatics is subject to considerable variation, but allow- ance can be made for this clinically. The superficial inguinal lymphatic glands, as a whole, occupy Scarpa’s triangle and include the following three chief sets, named according to their disposition with respect to the saphenous opening. 1. A supero-external or inguinal group situated obliquely, parallel with, and just below Poupart’s ligament. There are from four to seven of these glands and when they become enlarged the collective swelling often extends slightly above the level of Poupart’s ligament. Their afferent vessels are