Two cases of intussusception of the large intestine, due to the presence of a papillomatous growth : successfully reduced by introduction of the hand into the rectum, after removal of the growth / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of intussusception of the large intestine, due to the presence of a papillomatous growth : successfully reduced by introduction of the hand into the rectum, after removal of the growth / by Thomas Bryant. 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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    duration, associated with colicky abdominal pain and tenesmus, with the discharge of mucus from the bowel. From the report of the case kindly supplied to me by Dr. Richardson, it appeared “ that the patient had always been a weakly subject, and had suffered for many years from functional liver trouble, and attacks of gastro- enteric catarrh. The early attacks usually lasted about four or five weeks, and were followed by a period of good health of five or six months’ duration, after which a re- newal of the symptoms took place. As years passed, however, the attacks became more frequent and more severe. During the attacks mucus was often passed with the motions, and at times this was blood-stained.5’ “ During June, 1893,55 wrote Dr. Richardson, “ the patient had been coming to me at weekly intervals, suffering from a condition apparently similar to the usual ill- nesses, except that more mucus was passed from the bowel, and the treatment employed was attended by less benefit than had formerly been the case.55 On July 24th, the patient being too ill to leave her home, Dr. Eichard- son was sent for, when he found her in bed with a tempe- rature of 100°, suffering from a good deal of colicky abdo- minal pain, restlessness, nausea, and constipation of a week’s standing, and as the patient was thin, a hard mass supposed to be a collection of faeces in the ascending and transverse colon was made out to be present. Enemata of oil were ordered, with pills of conium and belladonna, and directions given to report progress to Dr. Richardson. Ten days later, as all the symptoms had steadily become worse, and the means employed had failed to give relief, he was again sent for, when, on making a rectal ex- amination, he discovered the presence of an intussus- ception just within the reach of his finger, but which, after the lapse of two or three days, had descended to the anus. I saw the patient at this time (August 7th) with Dr. Richardson, and having obtained the history of the case as just recorded, proceeded to examine her. I found, as I