Intestinal obstruction due to gall-stones : report of three cases, with summary of five more cases from the records of the London Hospital, 1893-1901 / by H.L. Barnard.

  • Barnard, Harold Leslie, 1868-1908.
Date:
[1902]
Catalogue details

Licence: In copyright

Credit: Intestinal obstruction due to gall-stones : report of three cases, with summary of five more cases from the records of the London Hospital, 1893-1901 / by H.L. Barnard. 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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    INTESTINAL OBSTRUCTION DUE TO GALL- STONES. REPORT OF THREE CASES, WITH SUMMARY OF FIVE MORE CASES FROM THE RECORDS OF THE LONDON HOSPITAL, 1893-1901. By H. L. BARNARD, M.S. (Lond.), F.R.C.S., OF LONDON, ASSISTANT SURGEON TO THE LONDON HOSPITAL. Case I.—R. F., a married woman, aged thirty-seven years, was sent up to the London Hospital on January 13, 1901, by Dr. MacDonnell, of Stoke Newington, with a diagnosis of intestinal obstruction and the following history. Until nine months ago she had enjoyed very good health. She had never suffered from biliary colic or jaundice, nor had she any previous attack of intes- tinal obstruction. For nine months before admission to the hos- pital, she had, however, suffered from an aching pain in the right side of the abdomen, which prevented her from lying on that side. This pain was at times so severe as to make her feel sick. On Wednesday, January 9, 1901, she was suddenly seized with a “ griping” pain in the right side of the abdomen below the ribs. On Thursday, January 10, 1901, she took a purge, and her bowels were opened several times on Friday, but the pain was not relieved. From this time she had absolute constipation,— neither faeces nor flatus were passed,—but she suffered from tenesmus. Vomiting commenced on Saturday, January 12, 1901. It was incessant, profuse, and from the very commencement brown in color and smelled of faeces. The patient and her hus- band volunteered the statement that “ she was passing her mo- tions from her mouth.” She was in great pain and in a condi- tion of severe prostration. On admission to the hospital the abdomen was found to be flaccid and neither distended nor tender on palpation. The pulse was too per minute and of fair volume and tension. The tongue