The operative relief of gangrene of intestine due to occlusion of the mesenteric vessels / by J.W. Elliot.

  • Elliot, John Wheelock, 1862-1925.
Date:
[1894?]
Catalogue details

Licence: Public Domain Mark

Credit: The operative relief of gangrene of intestine due to occlusion of the mesenteric vessels / by J.W. Elliot. 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.

    1/16 (page 1)
    THE OPERATIVE RELIEF OF GANGRENE OF INTESTINE DUE TO OCCLUSION OF THE MESENTERIC VESSELS. By J. W. ELLIOT, M.D., OF BOSTON, SURGEON TO THE MASSACHUSETTS GENERAL HOSPITAL. CASES of infarction and gangrene of the intestine due to thrombosis or embolism of the mesenteric vessels are not often seen even by the pathologist and have rarely been recognized during life. The subject is not mentioned in any modern text-book except Osier’s. I have been unable to find even a suggestion that surgery might be useful in such cases. On the contrary, it is distinctly stated by certain authorities that such cases are beyond the help of surgery; and yet, by a strange chance, two such cases were operated on by me within three weeks. Case I.—Resection of Four Feet of Intestine for Infarction prob- ably due to Thrombosis of the Superior Mesenteric Veins.—The patient, a man of twenty-five years, entered the Massachusetts General Hos- pital on July io, 1894, at 7 p.m. He had had a right inguinal hernia of about the size of an egg for four years, for which he had worn a truss at times. Ten months before entrance the hernia had been caught in the ring and was returned by a physician with considerable difficulty and great pain. Since which time any sudden exertion had caused pain at the site of the rupture, but the hernia had never come down again. He had had pain in the right lower abdomen for the past two weeks. He felt well the day before entrance until the onset of slight pain in the right groin while playing ball. He went home and vomited, but thought that due to smoking. He slept all night and ate breakfast on the morning of the day of entrance to the Hos-