On hernia of the vermiform appendix : with a series of cases / by W. McAdam Eccles.

  • Eccles, William McAdam, 1867-1946.
Date:
[1897]
Catalogue details

Licence: Public Domain Mark

Credit: On hernia of the vermiform appendix : with a series of cases / by W. McAdam Eccles. 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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    valescence the patient had an attack of parotitis, but in the end completely recovered. The case was under the care of Mr. Butlin. See St. Barth. Hosp. Male Surg. Reg., 1894, vol. v. No. 203. Case 13.—Male. Appendix with omentum in right inguinal sac. Inflammation and perforation of appendix. An abscess formed, followed by a fistula, from which came a very profuse discharge. It never healed, and the patient died twelve months after. It was thought to be a case of orchitis, until post-mortem examination revealed appendix. Recorded by Shaw (Trans. Path. Soc. Lond., 1846-48, vol. i. p. 270). Fourth Series.—Appendix alone in the Hernial Sac, with the record that it was acutely strangulated. Case 14.—Female, aged 50. Appendix in (? right) inguinal sac. Strangulation was said to have occurred four days before operation. There was vomiting and complete constipation. The appendix was in a fit condition to be returned, and speedy recovery followed. Recorded by Court (Lancet, 1870, vol. ii. p. 40T). Case 15.—Male, aged 19. Appendix in right femoral sac. As a result of strangulation, nausea, vomiting, and constipation ensued. The appendix, on herniotomy, was left adherent in the sac, and recovery succeeded. Recorded by Wolfer (Archiv fur klin. Chir., vol. xxi. p. 432). Case 16.—Male, aged 66. Appendix in (? right) inguinal sac. It was said to be strangulated, but although there was local pain, there was neither vomiting nor constipation. Re- corded by De Morgan (Trans. Path. Soc. Lond., vol. xxv. 1873-74, P- 107). Case 17.—Male, aged 57. Appendix in right inguinal sac. Said to have been strangulated. There was no impulse of cough in the swelling ; the pain was severe, but there was no vomiting, and the bowels were open freely. At the herniotomy, 2\ inches of the appendix were cutaway. Within the tube was found a small piece of bone. Recorded by C. R. Thompson. (Brit. Med. Jour., 1882, vol. ii. p. 599). Case 18.—Female, aged 38. Appendix in right femoral sac. Strangulation was said to be present. Pain was great, and there was some vomiting, but the bowels acted well. Recovery occurred after operation. Recorded by Davies-Colley (Guy's Hospital Reports, 1884, vol. xxvii. p. 430). Case 19.—Male, aged 5 months. Appendix in right inguinal sac, of congenital origin. It was said to have been strangulated.