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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    cesopliagus dilated. The mucous membrane of the stomach and pylorus is congested and swollen. Micro- scopically an overgrowth of uustriped muscular tissue. I'lie thickening terminates abruptly on the duodenal side, and gradually tapers off towards the cardiac side of the stomach. Cases 17 and 18.—W. Soltau Fenwick (26), in his work on the “ Disorders of Digestion in Infancy and Childhood,’^ 1897, refers briefly to two cases which came under his notice at the Evelina Hospital. I can find no specimen of this condition in the museum of the Royal College of Surgeons. The details of the two cases under my care are as follows : Case 19.—Henry KendalOT— attended as an out- patient at the Belgrave Hospital for Children on April 20th, 1897, aged 11 weeks. The father and mother are alive and healthy. 'Ohe mother had two children by her first husband, the second of which died. Patient is the fifth child by the second husband, the other four being alive and healthy. The child was apparently healthy at birth and up to the age of five weeks, when it began to waste rapidly. The mother’s account is somewhat vague and unreliable, but as far as can be ascertained vomiting began at the age of three weeks. It is insured, and all the other children also. He was brought up on the breast for three weeks, and then on the breast and Mellin’s food. He vomited every- thing, and was then tried on condensed milk and barley water; this also was vomited. The bowels have been obstinately constipated since birth, and only opened by enemata. Physical examination,—Much wasting; head markedly dolichocephalic, fontanelles closed ; inguinal hernia on the right side; tongue coated with a white fur, breath VOL. LXXXII. 4