On intestinal concretions / by Patrick Heron Watson.

  • Watson, Patrick Heron, Sir, 1832-1907.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: On intestinal concretions / by Patrick Heron Watson. Source: Wellcome Collection.

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    various quarters, and had the symptoms treated as piles by some, as constipation by others, and as dysentery by those who saw him when the irritation was accompanied with the discharge of liquid motions, mixed with mucus and blood. The calculi extracted were two in number, and occupied rela¬ tively the position of an upper (A) and an under stone (B). The under stone was the larger, and presented dark eyes or facets on several sides; the upper was lenticular and concave, the hollow surface lying in contact with the facets of the lower stone, which, as it was turned with the peristaltic action of the bowel, it obviously polished by friction. The close resemblance of the calculi to flints, as they were forcibly ejected from the bowel, made me almost ask the man how he came to have flints up his fundament, whether he put them there, or when he had swallowed them; but the lightness of the calcareous mass, when I held them in my hand, at once undeceived me, and assured me that I had no natural pebbles to deal with, but a case of genuine intestinal concretions. For the following accurate description, together with the analysis and microscopic appearances of these calculi, I am indebted to my friend, Dr Fraser:— u Report of Examination of Two Intestinal Concretions from a Patient of Dr P. II. Watson. u Each concretion was obtained in two portions. One concretion consists entirely of a dense stone-like body: the two portions of this are labelled c 1 a1 and c 2 a.1 The other consists of a dense crust and shell surrounding a large soft and friable nucleus : its two portions are labelled and referred to in this report as 11 b ’ and 12 b.' They have both an unmistakable fgecal odour. A. u Weight, . . . . ‘ 1 a ' = 123 grs. ‘ 2 a ’ = 415 grs. u Total weight, . 538 grs.