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.

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    pnration sent to the Academy of Medicine, by MM. Boiuiiol and Rigal, he satisfied himself that it was a piece of the small intestine about thirty inches in length, accompanied with a{X)r- tion of mesentery. It had been passed by a man who, after a violent indigestion of twelve days continuance, was affected with the symptoms of internal obstruction, complete suppression of the alvine evacuations, vomiting of stercoral matters, and in whom, in the right iliac region, a very obvious swelling could be felt. After the discharge of this substance, these symptoms suddenly ceased, and the ]>atient had now only a somewhat painful sensation in the right iliac region. Three months afterwards, this man having eat a large quantity of clierries, was seized with peritonitis, and diet!. Unfortunate- ly no examination was allowed, in which, M. Andral conjectures, Oiere woidd probably have been found a laceration of the ci- catrix, at the part from which the jwrtion of intestine had sepa- rated. 40. In the notes of the prejwirations contained in Professor Meckel's Museum, which I took during a short visit to Halle, in 1825, I find the following entries. “ ‘ Intussvscepta tenuis et crasai pars, dysenieria es:neta.' ‘ Intest ini tenuis portio in- versa gangrema ejecta, salva a’fcri vita.' (Jnc of these is not quite so long as the specimen from Tranent, (Case 10,) and the other is considerably longer.” In his Alanual of Pathological Anatomy, Professor Meckel mentions the case of a girl, 17 years of age, in whom, four weeks after the commencement of a fever, which wa.s attended at first with constipation, and afterwards with diarrhoea, there took place the separation of the corciim and appendicula vermi/ormis, and afterwards of the whole iransver.se and ascending colon, with a jKjrtion of the ileum, thirteen inches in length, which had bt^n for a week so far intus-suscepted, that these parts protruded out of the anuj. The girl, he adds, did not die for four weeks. Series III. 41. A girl whohadbecndelicatefrom Infancy, was seized when seven years old with fever and severe pains in the abdomen. In the region of the loins was felt a pretty hard swelling, of the size of a goose’s egg. Some time afterwards, a violent diarrhma came on, by which a quantity of purulent matter mixed with blood, and at length a skinny substance, was discharged. This consisted of the whole voccum with the ver- miform appendix. The patient u|X)n this became somewhat better ; but was at last carried off, by fever, cough, fretjuent vomiting, and severe diarrhu?a, by which purulent matter and undigested foot! were discharged from the liowels. On ojx'ning the btxly, all the intestines were found in an un-