Rectal stricture of puerperal origin, relieved by laparotomy / by N. Stone Scott.

  • Scott, N. Stone.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: Rectal stricture of puerperal origin, relieved by laparotomy / by N. Stone Scott. 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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    RE(^TAT. STRICTURE OF PUERPERAL ORIGIN, RE- IJEVEI) BY LAPAR(G’OMY* liV N. STONH SCOTT, A[. 1)., CLEVELAND, OHIO. K Surs^ii to th^Cily Hospital; Visiting I’liysician to Charily Hospital; Lec- It Genito-Urinary Diseases, University of Wooster. Consulting It IS with considerable trepidation that I offer to this society, the elite of the medical profession of this great state of (Ihio, in the words of Joseph Cook, “before whom I ought to stand dumb,” a new classification of rectal stricture. The case I have to report today has been of especial interest to me, .and, on looking up the literature, appears to be unique. The consideration of the subject forces me to divide rectal stricture into true and/ly/fse. In a tr\ie stricture the pathological narrowing is situated in one or more of tlie structures of the rectum. By a false stricture of the rectum will be understood a stricture wherein the pathological condition is situated in the peri- rectal tissues, and not in the structures of the rectum. This must not be confounded with obstruction of tlie rectum, caused by a tumor or mis[)laced organ. With true stricture and with obstruction of the rectum this paper does not deal; but it is my wish to show that false stricture not only e.xists, but may be better treated than by the methods re- commended in the text-books. The case giving rise to this research is as follows. SvNoi’sis. Symptoms of rectal stricture following confine- ment. Laparotomy. Recovery, with a complete cure of the stricture. IIisToiiv. Mrs. M., aged thirty-six years, a large, well-built