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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    was subsequently made of incontinence of faeces or more than a temporary anal soreness. Indeed, the patient speedily convalesced, and is now in good health. Remarks.—I believe the two cases which have just been related are worthy of the attention of this Society, not only on account of their comparative rarity, but from the practical lessons which are to be learnt from their consideration. I would, however, like to remind you that prolapse of the rectum, and invagination with intussusception of the large or small intestine, are but different degrees of the same condition; and that both are brought about by the same causes, namely, local irritation. The surgeon is familiar with prolapse of the rectum in cases of piles and rectal polypi, as well as in those of ulceration of the rectum and of local irritation by worms; and he meets with the same condition in the rarer but not less marked cases of papilloma of the rectum. He recognises also a certain degree of invagination of the bowel in cases of annular stricture of the rectum, cancerous or otherwise. Here the orifice of the strictured bowel feels to the finger introduced into the rectum either like the exaggerated and patulous mouth of an elongated neck of the uterus, or like a more complete example of intussusception. In the former class of cases the bowel prolapses through the anus. In the latter the upper part of the bowel prolapses as an invagination into the lumen of the canal below. It would be well for the surgeon to recognise with equal confidence the view that local irritation of any kind, either the result of the presence of a new growth—simple or cancerous, of an inverted diverticulum, or of some other local cause of a more temporary character, when applied for a sufficient length of time to any part of the lumen of the intestinal tract, is prone to be followed by prolapse, invagination, or intussusception; and that these condi- tions are most liable to occur when the local source of irritation is situated either above and within a few inches of the ileo-csecal valve—where there is a narrowing of the