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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    of the abdominal cavity after such injuries, which was want- ing when the post-mortem room furnished the sole field of study. On some points as much information as might be wished is wanting, as the result of the notes of the cases being the work of different persons, and not having been made with any special object in view; none the less, it seems to me that several important points are suggested by them, and that, in the present state of our knowledge, any contribution tending to throw light on a class of injury which has so lately proved itself capable of successful treatment will be acceptable. I will first detail the history of my most recent case, which is shortly as follows: A healthv man. aged twenty-six years, while steadying a log, about three feet in diameter, on the table of a circular saw, re- ceived a blow in the right flank as a result of the log being thrown suddenly backward by the machine. The patient was thrown down, but did not lose conscious- ness; in a few minutes he commenced to vomit, and this symp- tom continued during the forty-five minutes employed in bring- ing him up to the hospital. On his arrival he was evidently in great pain, his face was pale although not blanched, the eyelids were half closed, and his skin was moist with perspiration. When laid on the couch he seemed dazed, but answered questions intelligently. The breath- mg was shallow and rapid, occasionally accompanied by a half- simnressed-groan; he lay with the knees drawn up; the pulse was 88. regular, and of good volume; t-he temperature slightly subnormal. On inspection of the abdomen a slight graze, about two inches in length, was seen extending obliquely downward and inward from a little above the anterior superior spine of the ilium, in the line of Poupart’s ligament. The abdominal wall was rigid and scarcelv moved with respiration. There was no disten- tion. General abdominal tenderness was complained of on pal- pation, but the most tender spot was in the right iliac region. No emphvsema was present. On percussion, the liver dulness was normal, but there was slight impairment of resonance in the right Join, A specimen of clear normal urine was removed with th?