On villous growths and the common affections of the rectum / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: On villous growths and the common affections of the rectum / by Thomas Bryant. Source: Wellcome Collection.

    55/60 (page 51)
    prolapse of the rectum, associated with the discharge of much blood- stained mucus, and at times of blood accompanied with straining. The bowel had been down for some months, but for at least a .year before it had come down when straining at stool, and at these times there was a free discharge of watery fluid. An examination revealed the presence of a sessile villous polypus high up the rectum, which was drawn down by means of forceps into view, ligatured, and removed, a rapid recovery taking place. C ask 9. Villous growth oj the rectum; prolapse of the rectum ; opera- tion ; recovery— In 1881 I was consulted by a woman, aged 56 years, for prolapse'of the rectum of three months' standing, associated with tenesmus and the frequent discharge of blood-stained watery mucus. For about six months previously she had noticed the same mucous dis- charge, which was accompanied with diarrhoea. On examination a sessile papillomatous growth was found on the dorsal surface of the rectum, about 3 inches up, with a base 1 inch in diameter. This was drawn down and ligatured in halves at the base and cut off. A rapid and complete recovery followed. Case 10. Villous growth of the rectum of 20 years' standing ; loss of much blood; operation and recovery.—-In June, 1881, I was consulted by a man, aged 35 years, who when only 15 years of age passed blood at his stools accompanied by much straining. Since then, at intervals varying from three days to a month, the symptoms returned. He would for a week or two weeks together pass blood with every motion, and the blood would generally flow from the bowel for 10 or 15 minutes after defecation, but sometimes he would pass no blood for three days. At these attacks there would be great straining, but no prolapse of the anus. Much mucus would, however, at all times be passed with the motions. An examination made with the patient anaesthetised during one of these attacks revealed the presence of a papilloma attached to the orifice of an intussuscepted bowel, high up the rectum. This I pulled down by means of a long pair of fenestrated forceps and, having ligatured its base in halves, I removed it. The growth covered the area of a florin. Everything went on well subsequently, and a rapid and permanent recovery ensued. Case 11. Villous growtlis of the rectum; operation; cure.—In April, 1883, I was consulted by a man, aged 56 years, for the discharge of much mucoid fluid from the rectum, accompanied at times by straining and occasional prolapse of the rectum. These symptoms had been steadily becoming worse for six or more months, but for the last month the constant bearing-down pain and discharge had induced him to seek advice. On examination the external anal parts looked healthy, but internally about 3 inches up the l'ectum and on its dorsal aspect a villous growth was found. This was then dragged down by means of forceps and removed, after its base, which was of about the size of a shilling, had been ligatured in halves. A rapid convalescence ensued. Case 12. Villous growth of the rectum; operation ; cure.—A woman, aged 56 years, the mother of three children, consulted me in August^ 1889, for severe tenesmus and the passage of much mucus from the lx»wels, which for the last month was blood-stained. These symptoms