A case of carcinoma of the ileum with unusual symptoms / by Anthony Bassler and J. Prescott Grant.

  • Bassler, Anthony, 1874-
Date:
1911
Catalogue details

Licence: In copyright

Credit: A case of carcinoma of the ileum with unusual symptoms / by Anthony Bassler and J. Prescott Grant. 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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    tional force of the stomach to drive the contents in the small intestine through the strictured ileum; the good condition of the general body, considering that the cancer was far advanced; and, 4, the operation of lateral anastomosis of the middle ileum (which is very movable) with the ascending colon (which is fixed) in such a way as to have an anchored re- ceiving part of the union to which a very movable viscus (ileum) could accommodate itself as may be called for in its function, rather than to have joined the ileum to the sigmoid and have had two long mesenteries to the both parts of the union, which would have increased the danger of twists or kinks at the site of union and would have brought about an abnormal lay of the parts. Case. H. G.; fifty-four years old; salesman; single. Pa- tient first came under observation October 2, 1910. His father died of typhoid at forty-five; mother, as a result of a fracture of the neck of the femur which kept her in bed for three years, died at seventy-nine; had two brothers, one was an inmate of a home for incurables suffering from locomotor ataxia, the other was well; had one sister who died at forty-seven from cancer of the breast. Patient was temperate in his habits, drank very little al- cohol, smoked moderately, habits otherwise negative. Dur- ing childhood patient had had pertussis, measles, and minor illnesses. At seventeen years of age he had typhoid fever and was very ill for six weeks. Ten years later had a two weeks illness which was diagnosticated as typhoid at the time. Nine years afterward had pneumonia, was in bed for three weeks when there were aspirated from his right chest sixteen ounces of purulent fluid, and one week later sev- enty-two ounces of purulent fluid and a portion of one rib'were removed. Patient left the hospital three weeks after the operation and had a drainage tube in the wound for thirteen weeks, when the opening closed. In 1899 he had a cough of a chronic type, lost in weight, and went to the Adirondack Mountains for nine weeks, an annual cus- tom he persisted in up to the present time. About two years ago had pains in the stomach and intestines of an indefinite type. Treatment at the time was for indiges- tion and diabetes. Two months following the onset of the