Notes on appendicitis / by B.S. Talmey.

  • Talmey, Bernard Simon, 1862-1926.
Date:
1907
Catalogue details

Licence: In copyright

Credit: Notes on appendicitis / by B.S. Talmey. 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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    In his paper on appendicitis, read before the Rochester Pathological Society (New York Med- ical Journal, November io, 1906), Dr. W. D. Ward reports several cases of Koch, Sheen, Eisendrath, and others where abscesses in and near the liver and in other parts of the body were found due to the delay in the operation for appendicitis. That this occurrence is not so very rare is shown by the following two cases with delayed operation where abscesses were found in other parts of the abdomen. Case I.—In the first case of a young girl, 19 years of age, I was called in consultation on the ninth day of her sickness, May 30, 1905. The family physician re- ported that when he first saw the patient, nine days previously, he found her in great distress with high temperature, frequent pulse and severe pain in the cascal region. His diagnosis was suppurative appendi- citis, and he waited for the abscess to be walled off from the general cavity before recommending an oper- ation. I found the patient in a very serious condition, with frequent, feeble, pulse, high temperature and in- tense rigidity of the lower abdomen. I, therefore, ad- vised an immediate operation. Two hours later on opening the peritonaeum about a pint of thick foetid pus gushed out. The appendix was found gangrenous, about two thirds having been dissolved by decay. The rest of the appendix was now removed, the wound drained with a rubber tube and gauze and left wide open. After two months the wound closed and the patient left her sickbed. Reprinted from the Neif York Medical Journal for M aretY^J K)Oj. /W (< 10 [ «-7 t - NOTks ON APPENDICITIS. By TALMEY^iffyD., Gynecologist to the MetrttpiJXdbr’^ospital and Dispensary; Former Pathologist to the Mothers’ and Babies’ Hospital, etc. Copyright, 1!)07. by A. It. Ei.i.iott Publishing Co.