Primary sarcoma of the peritoneum / by J.M. Elder.

  • Elder, John Munro, 1859-
Date:
1908
Catalogue details

Licence: In copyright

Credit: Primary sarcoma of the peritoneum / by J.M. Elder. 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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    REPRINTEP FROM , ANNAIvS OK SURQERY December, i«o8. , PRIMARY SARCOMA OF THE^RITONEUM^ BY OF MONTREAL, CANADA. The paucity of surgical literature on the subject of pri- mary sarcomatous tumors of the peritoneum and the interest- ing post-mortem findings regarding the questions of rapid tumor growth and metastases in the case which came to autopsy, justify me in publishing these two cases, both of which occurred in the Montreal General Hospital during the summer of 1907. Case I.—(561 M., 862 S., 1907 M. G. H, Reports.) N. M., sailor, aged 33, admitted to the service of Dr. Lafleur, June 22, 1907, complaining of swelling of the abdomen. Family history good; personal history negative except that he has been a hard drinker since he was 15 years of age. Present illness.—Began nine months ago, when he decided that he did not feel as strong as before and therefore secured employment ashore. Three months later he noticed swelling of the abdomen, but attributed his supposed corpulency to drink and easy work. This abdominal enlargement gradually increased but without producing distress to the patient until a truss, which he had worn for years, became too small. He vomited several times during the summer of 1906, chiefly his breakfast, but attri- buted this to too much beer the night before. He had no pain or swelling of the lower extremities. There was slight dyspnoea on exertion. Present condition.—Fairly well nourished man, of good musculature, with conjunctivae slightly yellow. Expression anxious and malar bones slightly prominent. Weight 175 lbs. Temperature 99° and pulse 70. On examination, thoracic organs fairly normal, but abdomen presented a peculiar condition. It was enormously distended, with marked bulging of the flanks and over the inguinal region (Fig. i). This distention is symmetrical, and abdominal walls move freely with respiration. The superficial epigastric veins 849