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?]
Catalogue details

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.

    7/20
    41. (35 A.) Chirurgische Geschichte, &c. von Leb. Ehreg. Schneidcrn ; funft. theil, Chemnitz, 1T71. (See Richter’s Chir- urg. Bibliothek, i.) (35 B ) Case which occurred in the practice of Dr For- bes of Chichester, described by Dr Carswell in the Article Mortification in the Cyclo|)edia of Practical Medicine. The greater part of the intestine is preserved in the Museum of the Chichester Infirmary. 43. (35 C.) Cayol, as quoted at case 24. 36. A widow, aged 40, complained of a severe ulcerous pain of the right ileum, particularly at the time of going to stool, for which various remedies had In'en prescribed. She was put upon the use of a mild abstergent ilecoction, of baths, and of emollient and anodyne injections. These having Ijeen diligent* ly employed for eight days, she passed by stool a membranous substance of the length and breadth of the thumb, open and ulcerate<l at one part but shut at the other, consisting of a tri- ple coat, thin, fleshy, and rugous, and having a great resem- blance to the coecurn. The discharge of this substance was ac- companied with a small quantity of blood, of which there had previously been no trace. After this, she wasseiztKl with loss of ap|H;tite and constipation of the bowels, which could not be overcome, but on the ninth and following days, the bowels hav- ing been s|x)ntaneously ojX!ned, the appetite returned, and the patient was restored to her former state of health. Front the nature of the pain and its seat, and from the structure of the excreted part, the author who relates this case was strongly inclined to Itelieve that the substance discharged was actually the ((fcum. 37. A man, aged 35, was attacked (13th April) with colic ac- companied with fever; he had calls to stool twenty times in the course of the day, and passt'd clots of bhx>d ancl mucus. At the time of his Ix'ing seen, the gripings, which were felt only in the lower part of the umbilical region, had somewhat subsicl. cd; the pulse was small, contracted, and frequent; the fac*e was pale, the eyes had a dark areola; and the tongue was covcrc>d with a thick yellow matter; the al)domen was tense and pain- ful throughout all its lower |>art. The attack was regarded as of the nature of bilious dysentery, and treated accordingly After the remedies had been continued for some days the con- dition of the patient was much improved, there was no longer blood in the stools, and the fever seemed to cease*. The pa- tient now Iwcame very irregular in respect of diet. On the evening of the sixteenth day of his disease, (28th April) after having passed several stools, he felt that his fundament had ])rotruded. The surgeon on visiting him next day found that