On the causes of death after lithotomy / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
[1857]
Catalogue details

Licence: Public Domain Mark

Credit: On the causes of death after lithotomy / by Thomas Bryant. 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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    tlie second of perforation of the posterior wjill of the bladder; sand the third of sloughing of the rectum, &c., 'after the removal of a large calculus. Case xxx.—A boy, set. 9, was operated upon, the double- cutting edged gorget being used. Some difficulty was ex- perienced in extracting the stone, on account of its large size. -On the following day he complained of great pain in the lower ’.part of the abdomen and in the wound, fseces passing by the latter. On the second his excitement became worse, attended with delirium, and towards evening he died. After death acute suppurative inflammation in the cellular tissue surrounding the bladder was detected, extending for a considerable way between the body of the bladder and the ^peritoneal covering. The rectum was perforated just above ithe sphincter for about an inch. The prostate gland was not entirely divided, a small portion remaining whole on each side »of the urethra. The bladder was much thickened; but its mucous lining appeared healthy. The peritoneum and other viscera were healthy. Case xxxi.—A boy, set. 5, after lithotomy, attended with lasemorrhage, died, twenty hours after the operation. Miliary tubercles were found in liver and bowels. The )ladder was surrounded with red serum, its posterior wall was leeply injected, and covered with a film of lymph. Upon opening the bladder, the incision through the prostate was found to be very limited; but near the trigone a puncture was seen half an inch in its posterior wall, full of dissolving blood. The kidneys and other viscera were healthy. Case xxxii.—A man, set. 65, having had symptoms of stone cbr six years, was operated upon and a large calculus removed. Upon the fifth day he died. The thoracic viscera were healthy. . The peritoneum was jovered in patches with flakes of lymph. The liver Avas nettled and congested. Spleen natural. Kidneys large and labby, with cysts. The external wound was sloughing, and ;;he finger could be passed from the rectum into the opening nade for the extraction of the stone. Tlie incision through