On two cases of traumatic rupture of the colon : with some remarks on the cases of rupture of the intestine treated in the wards of St. Thomas's Hospital, London, between the years 1889 and 1898, inclusive / by George Henry Makins.

  • Makins, George Henry, 1853-1933.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: On two cases of traumatic rupture of the colon : with some remarks on the cases of rupture of the intestine treated in the wards of St. Thomas's Hospital, London, between the years 1889 and 1898, inclusive / by George Henry Makins. 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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    Vol. xxiv, p. 373. Male, aged fifty-seven years. Nature of violence, run over by cart. External signs of violence, bruising in left inguinal region. Part of bowel affected, ileum, eleven feet from pylorus. Nature of injury to bowel, ragged longitudinal rupture at free margin. Nature of fluid, etc., found in belly at operation, no mention. Operation, abdominal sec- tion; suture of rent. Result, died. Case X.—Year, 1895. Reference, St. Thomas’s Hospital Reports, Vol. xxiv, p. 373. Male, aged twelve years. Nature of violence, run over by cart. Part of bowel affected, ileum, three feet eight inches from caecum. Nature of injury to bowel, transverse rupture with clean edges of one-half inch circumference. Nature of fluid, etc., found in belly at operation, blood. Operation, abdominal section; resection and end-to-end junction. Result, died. Case XI.—Year, 1896. Reference, St. Thomas’s Hospital Reports. Vol. xxv, p. 369. Male, aged thirty-eight years. Nature of violence, kick by horse. External signs of violence, no bruise; tender spot just within anterior superior spine of ilium. Part of bowel affected, ileo-jejunal junc- tion^). Nature of injury to bowel, transverse rent, starting from mesen- teric border and involving one-third of its circumference. Nature of fluid, etc., found in belly at operation, sero-purulent fluid. Operation, abdom- inal section; suture. Result, died. Case XII.—Year, 1897. Reference, St. Thomas’s Hospital Reports, Vol. xxvi, p. 365. Male, fifty-two years. Nature of violence, fall with man across his belly. Part of bowel affected, ileum, nine inches from caecum. Nature of injury to boivel, two small rents. Nature of fluid, etc., found in belly at operation, faecal matter. Operation, abdominal section; suture. Result, died. Case XIII.-—Year, 1897. Reference, St. Thomas’s Hospital Reports, Vol. xxvi, p. 366. Male, aged forty-nine years. Nature of violence, pinned against wall by van pole. External signs of violence, local ten- derness in right iliac fossa, part struck. Part of boiuel affected, jejunum, six feet two inches from pylorhs. Nature of injury to bowel, rent at free margin one-half inch long. Operation, none. Result, died. Case XIV.—Year, 1897. Reference, St. Thomas’s Hospital Reports, Vol. xxvi, pp. 100, 366. Male, aged nineteen years. Nature of violence, run over by van. External signs of violence, emphysema, right flank. Part of bowel affected, duodenum, second part, retroperitoneal two and a half inches from pylorus. Nature of injury to bowel, rent one-half inch long. Nature of fluid, etc., found in belly at operation, blood; free gas. Operation, abdominal exploration. Result, died. Case XV.—Year, 1898. Reference, St. Thomas’s Hospital Reports, Vol. xxvii; see also B. Pitts, Vol. xxvi, p. 93, full account. Male, aged thirty-seven years. Nature of violence, kick by horse. External signs of violence, local tenderness equal to area of palm of hand above pubes. Part of bowel affected, small intestine. Nature of injury to boiuel, per- foration at free border of gut; hole in mesentery admitting little finger. Nature of fluid, etc., found in belly at operation, no free fluid; fragments of undigested food. Operation, abdominal section; suture. Result, cured.