A case of haemophilia with fibrous thickening in the appendix region / by F. Parkes Weber.

  • Weber, Frederick Parkes, 1863-1962.
Date:
[1909]
Catalogue details

Licence: In copyright

Credit: A case of haemophilia with fibrous thickening in the appendix region / by F. Parkes Weber. 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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    CLINICAL / Y° o^i'rv—i rh^^X U~Uo^ <r| i-O-J-i , V(rLXXXII EVENINGS. November 9th, 1908. A CASE OF HEMOPHILIA WITH FIBROUS THICKENING IN THE APPENDIX REGION. By Dr. F. Parkes Weber. ( Hermann Z., aged 23 years, a rather delicate-looking man, a German waiter in London. During the last two years he has suffered from spontaneous haematomata, or haematomata from slight traumatism, in both lower extremities and in both inguinal regions of the abdomen, and has also had attacks of haimophilic swelling in both knee-joints and in the left shoulder-joint. In 1907 he had severe haemorrhage after the extraction of some teeth. His hatmophilic swellings are accom- panied by fever, sometimes considerable, up to 103° F., or even slightly higher, in the evenings. A hsemophilic swelling in the right inguinal region of the abdomen, such as he suffered from last summer, might therefore be mistaken for acute appendicitis. Horae of his hamiophilic swellings have been apparently completely reabsorbed, though others have left chronic fibrous thickenings. His last trouble was a large hematoma, which gradually developed in the left thigh after a slight fall on September 9th. At one time the skin over it was so tense and discoloured that it looked as if it might slough. This hasmatoma has very much diminished in size, mt still constitutes a fluctuating swelling in the upper-inner part of t e eft thigh. There is also still a firm mass (retroperitoneal ?) tp be felt in the right inguinal region of the abdomen, and there is slight limitation of movement in both knee-joints. A thickening can likewise be felt over the front of the lower part of the right femur, just above the knee-joint. There has been no fever since September 22nd. The patient has been treated with calcium lactate. No examination of the blood nas been made.