Case of acute haemorrhagic pancreatitis / by A.D. Fripp and J.H. Bryant.

  • Fripp, Alfred Downing, (1865-1930)
Date:
[1898]
Catalogue details

Licence: Public Domain Mark

Credit: Case of acute haemorrhagic pancreatitis / by A.D. Fripp and J.H. Bryant. 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.

    1/8
    Reprinted from Vol. XXX LI of the ‘Clinical Society's Transactions Case of Acute Haemorrhagic Pancreatitis. By A. D. Fripp, M.S., and J. Id. Bryant, IVLD. Read December 9, 1898. FOR the notes of this case I am indebted to the excellent report by the clinical clerk, Mr. W. J. Lindsay. D. D., £et. 42, admitted into Guy’s Hospital, September 8, 1898, for severe abdominal pain. Family history unim- portant. Personal history.—He is said to have had an epileptic fit nineteen years ago, and to have been subject to severe attacks of “colic” once or twice a year for some years. The paiu is always severe enough to “ double him up,” but it has never been nearly so severe as in this attack. For several months the bowels have acted three times a day or more, sometimes seven times and nearly every action has contained “ a jelly- like substance.” There is no history of alcoholic excess; by profession he is a furniture dealer, and with the above exception he has always enjoyed good health. Present illness.—He was in his usual health when, on September 14, he went to a dinner party and partook amongst other things, of veal, roast beef, and greengages. On the 16th, at 8.30 a.m. he complained of “colic” which recurred about every half hour throughout the day and, “ doubled him up ” each time. He refused his food but was not sick. His bowels acted four times. In the evening he took an ounce of castor oil and some opium. He spent a restless night. On the 17th, his bowels acted very slightly, early in the morning. While his wife was fetching the doctor he got up, took a hot bath, dressed himself, went downstairs and out into the garden. He came back into the house in a few minutes and was found at 11.30 a.m. by Dr. Blackler, of Redhill, doubled up with pain, with a very rapid pulse, cold clammy skill, blue lips, and a subnormal temperature. His abdomen was rather rigid, but was moving with respiration and was not tender. Dr. Blackler at first suspected lead poisoning, especially as the patient had recently been engaged iu re-painting his own house, but later he inclined to the diagnosis of acute intestinal obstruction. A quarter of a grain of morphia subcutaneously