Practical observations on the symptoms, discriminations, and treatment of some of the most important diseases of the lower intestines, and anus ... To which are added, some suggestions upon a new and successful mode of correcting habitual confinement in the bowels ... / By John Howship.

  • Howship, John, 1781-1841.
Date:
1824
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on the symptoms, discriminations, and treatment of some of the most important diseases of the lower intestines, and anus ... To which are added, some suggestions upon a new and successful mode of correcting habitual confinement in the bowels ... / By John Howship. Source: Wellcome Collection.

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    15. I have repeatedly known stricture in the rectum arise from coagulable lymph effused from inflammation connected with abscess external to the gut. In one instance * the band of adhesive matter thus formed could be felt very distinctly in examining the bowel. 16. In the weak and irritable, though inflam- mation may end in effusion, the affection is more apt to run on to ulceration of the mucous mem- brane ; and unless the probable state of the disease is accurately estimated, and the turn of constitu- tion diligently attended to, the consequences will generally be serious, and the event fatal. Under these circumstances it commonly happens that the patient at first harassed, is at last exhausted; by the combined influence of excessive secretion of purulent matter, long continued uneasiness, great pain and incessant irritation. 17. Where a fragment of a bone, or other sharp extraneous body, has found its way into the rectum, unless favourably situated for escaping by the sphincter, it usually excites inflammation and ul- ceration, by the aid of’ which it sometimes makes its way out; in other instances, however, this does not happen. M. Le Dran mentions the laying open a fistulous sinus of many months* duration. In performing the operation, the surgeon, introducing his finger into the bottom of the wound, detected a small piece of bone with sharp edges, lodged very near the neck of the bladder. This was extracted, and the wound healed in two months.t 18. In one case, the jaw of a whiting was found at the bottom of an abscess near the anus, in a complaint previously supposed to be piles. It had subsisted more than a twelvemonth ; but, on the removal of the cause, the abscess healed presently.!: * Case IT. t Observations do Chirurgie, Obs. 86. j; Phil. Trans. No. 158.