Some remote effects of appendicitis ; Two cases of papilloma of rectum treated by excision of mucous membrane / by T. Kennedy Dalziel, M.B., C.M., F.F.P.S., [Assistant Surgeon, Western Infirmary ; Surgeon, Royal Hospital for Sick Children].

  • Dalziel, T. Kennedy.
Date:
[1897?]
Catalogue details

Licence: Public Domain Mark

Credit: Some remote effects of appendicitis ; Two cases of papilloma of rectum treated by excision of mucous membrane / by T. Kennedy Dalziel, M.B., C.M., F.F.P.S., [Assistant Surgeon, Western Infirmary ; Surgeon, Royal Hospital for Sick Children]. 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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    obstruction, and as he had a well-marked tumour in the neighbourhood of the ileo-c.aecal valve, laparotomy was per- formed at the outer border of the right rectus. A loop of intestine was found, caught between a rigid band, stretching from the right iliac fossa towards the epigastrium and the abdominal wall. This hand consisted of a shrunken and rigid omentum, adherent to the appendix and neighbourhood. A large nodular mass was found by the right side of the pro- montory of the sacrum, evidently consisting of numerous very much enlarged lymphatic glands, which, from their consistence, size, and number affected, were believed to be sarcomatous, and an unfavourable prognosis given accordingly. The patient recovered well from the operation, the function of the bowel being immediately restored. He was sent home in four weeks with the tumour mass large and easily palpable through his flaccid abdominal wall. We were gratified to learn some months afterwards that the whole of the swelling had disappeared, and that the patient enjoyed perfect health, with no indications of abdominal discomfort. No doubt the glandular enlargement was of a chronic inflammatory nature, due to an old-standing appendicitis, associated with omental adhesions. CASE 2. M. M‘L., aged 8, a patient of Dr. Campbell’s, with whom and Dr. George Middleton I saw him in August, 1894. He had suffered for two years from occasional abdominal discomfort, and on several occasions sharp attacks of diarrhoea. His acute illness started with diarrhoea and vomiting, followed by violent fixed pain on the right side, with painful defaecation of mucous and watery discharge. Tympanites and elevation of temperature to 101 degrees followed, and the boy’s condition, while not alarming, showed no signs of improvement. After waiting a few days, as the pain and tenderness in the right iliac region persisted, though there was no evidence of abscess, it was deemed well to open the abdomen. An incision alonsr O the outer border of the rectus revealed a firm band of tissue stretching from the neighbourhood of the umbilicus to the right