A treatise on indigestion : with observations on some painful complaints consequent on indigestion, especially nervous affections / By Thomas J. Graham.

  • Graham, Thomas John, 1795?-1876.
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on indigestion : with observations on some painful complaints consequent on indigestion, especially nervous affections / By Thomas J. Graham. Source: Wellcome Collection.

    63/220 (page 47)
    resemble, in smell and appearance, that which was passed by stool. “ At this time, I was first desired to see the child. The body was reduced almost to a shadow, the belly much swollen, very tense, and extremely painful. There was an obscure fluctuation in the abdomen. The motions were at this time less frequent than in health. The child was perfectly sensible, and always called for his chair, when necessary. The pulse was pretty good, and beat 120 in a minute, but the little remaining appetite had now failed, so that he took nothing.” A suitable treatment was now instituted, but after languishing a few days, he expired. “ Examination. “ The body was inconceivably emaciated. On lay- ing open the abdomen, the peritoneum was found in many parts adherent to the viscera. The omentum was considerably thickened by inflammation and dis- ease. The whole bundle of intestines was found involved in one confused mass of adhesions. This had been consequent to a very extensive effusion of coagulable lymph into the cavity of the abdomen, in which was also a quantity of serous fluid, that was removed in the course of the examination. “ This mass of coagulated lymph was next cut into, when a quantity of brownish red fluid gushed forth, and with it the skins of some raisins. This circum- stance proved that some parts of the coats of the intestines had given way. The incision was then ex- tended, so as to expose more perfectly the cavity of