Propositions relating to diseases of the stomach / [Jonathan Osborne].

  • Osborne, Jonathan, 1795-1864
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: Propositions relating to diseases of the stomach / [Jonathan Osborne]. Source: Wellcome Collection.

    3/18
    &C. &C. -♦- Before I proceed to the remainder of the propositions which I have to bring forward, on the subject of diseases of the stomach, the attention of the reader is requested to some topics connected with those which I have already published, and with respect to which I am enabled to afford some ad¬ ditional information; and first of THE PERFORATING ULCER. This is a form of disease peculiarly insidious, and apt to be overlooked, on account of the slightness of the symptoms which mark its progress, and, as a subject of pathology, is involved in considerable difficulty, from the singular and in¬ deed unique appearance it presents. The edges of the fresh-formed ulcer have no resemblance to those of any other kind of ulcer, but the coats of the stomach are perforated as if by a cutting instrument of a circular form, leaving a smooth and perpendicular edge. The situation of those ulcers is always at or near the lesser curvature, and they are often not noticed, and their existence not suspected, till they have perforated the peritoneal coat, when death ensues within a few hours, in consequence of the escape of the contents of the stomach into the cavity of the peritoneum. I have hesitated for a long time before I could determine whether this affection should be considered as idiopathic, B