Appendix to abstract of cases in which a portion of the cylinder of the intestinal canal, comprising all its coats, has been discharged by stool, without the continuity of the canal having been destroyed / by William Thomson.
- Thomson, William, 1802-1852.
- Date:
- [1836?]
Licence: Public Domain Mark
Credit: Appendix to abstract of cases in which a portion of the cylinder of the intestinal canal, comprising all its coats, has been discharged by stool, without the continuity of the canal having been destroyed / by William Thomson. Source: Wellcome Collection.
Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.
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![natural situation, and there appeared traces of a volvulus hav- ing occurred in the ileum and caecum ; for, says the narrator, the ccecum and a part of the ilann had entered into the colon, and this invaginated portion had been discharged by stool, without an opening in the intestines being thereby produced, or any sto])page of the contents of the alimentary canal. 42. A woman, aged 31, had been confined to bed by an ano- malous chronic affection for many years. In 1826, a portion of intestine came away, and from that time to the year 1829, there were no fewer than eight portions of intestine passed by 8Uk)1, varying from eleven to thirty-two inches in length, the length of the whole amounting to twelve feet of entire intes- tine. Each portion was complete in itself, presenting in fact the apj)earance of healthy intestine that has been allowed to remain for a certain length of time in alcohol. They consist- ed of the Jejunum and ileum, some of them having their serous, others their mucous surface outwards, on the fornier of which the blood vessels, on the latter the glandulcc agminatw, were most conspicuously visible. The patient recovered completely, at least from the immediate consequences of this disease. She died in March 1831, aged 37 years. On examination after death, the form and dimensions of the inte.stine at the point where the solution of continuity had taken place, were found to have undergone very little alteration. A slight contraction of the small intestine, and the presence of a thin pearly-coloured false membrane, little more than half a line in breadth, and surrounding it in the form of a zone, were the only external appearances which indicated the original seat of the disease. On the corresponding and internal surface of the intestine there was also seen a narrow, slightly elevated, smooth ridge, covered by mucous tissue, and traversing the whole circumference of the intestine, the walls of which, oppo- site, were considerably thickened. The solution of continuity had taken place in the situation of one of the glands of Peyer, and in such a manner, that this gland was divided into two nearly equal portions, one of them terminating in the cicatrix, and the other being situated at the extremity of one of the detached portions of intestine. 43. A man, aged 47, had been troubled for fifteen years with an inguinal hernia on the left side, for which he wore a bandage that did not fit him, but allosved the hernia, which be could easily reduce, to descend. On the 10th of July, on his making a sudden effort, the bandage became displaced, and the tumour quickly became tense, painful, and irreducible. In this state he walked a league and a-half, suffering severe colic; after which, the tumour having acquired a brown hue, he lay for three days affected with colic, hiccough, borborygmus, ster-](https://iiif.wellcomecollection.org/image/b24931470_0010.jp2/full/800%2C/0/default.jpg)
