Congenital hypertrophic stenosis of the pylorus / by Edmund Cautley.

  • Cautley, Edmund, 1864-1944.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: Congenital hypertrophic stenosis of the pylorus / by Edmund Cautley. 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 this orifice to congenital or infantile pathological changes. Dr. John Thomson (19), of Edinburgh, published two cases in 1896 and a third in 1897. In the second paper he gave a valuable bibliography. These two papers have been very kindly placed at my disposal by the writer, and I take this opportunity of gratefully acknow- ledging my indebtedness to him. Case 7.—Male, apparently healthy at birth and for ten days after. Then continual vomiting until death on the twenty-eighth day from emaciation and exhaustion. Post mortem the oesophagus and stomach were found dilated, the mucous membrane of the latter congested. The pylorus was thickened and elongated, its walls one sixth of an inch thick, and the mucous membrane thrown into folds. The lumen would admit probe-pointed scissors. The condition was due to hypertrophy of the circular muscular fibres. Case 8.—Male, apparently healthy at birth and for four weeks after. Then vomiting occurred almost every time he took the breast, and continued, in spite of weaning and various methods of feeding, until death, preceded by fits, in the tenth week. The bowels were moved regularly during the first seven weeks of life, but after that there was obstinate constipation. The post-mortem appearances were similar to those of the last case. Casio 9.—Female, apparently healthy at birth and breast-fed for a week. Diluted cow^s milk was then given, and vomiting began at once and continued, occurring imme- diately if more than two ounces of food were given at a feed. Gradual emaciation. A small hard moveable tumour was sometimes felt in the epigastrium. Death resulted on the forty-seventh day, preceded by convulsions for five days. Post mortem the same appearances were