Case of communication with the stomach, through the abdominal parietes, produced by ulceration from external pressure : with observations on the cases of gastro-cutaneous fistulæ already recorded / by Charles Murchison, M.D.

  • Murchison, Charles, 1830-1879.
Date:
1858
Catalogue details

Licence: Public Domain Mark

Credit: Case of communication with the stomach, through the abdominal parietes, produced by ulceration from external pressure : with observations on the cases of gastro-cutaneous fistulæ already recorded / by Charles Murchison, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    subject, and the stomach having wholly protruded itself, it was seen to contract itself repeatedly and forcibly, during the space of half an hour, until by its own efforts it had expelled all its contents except gases. ^ A similar account of the case has been given by Mr. Paget ;^ and by Messrs. Todd and Bowman;^ the latter, however, quote from Mr. Paget. How completely different were the phenomena really presented by this case, will be at once apparent on reading the following extract from the original account. Pendant tout le temps que I'estomac fut hors de Pabdomen, M. Lepine ne Pa ni vu, ni senti se contracter, quoique, dans le but de provoquer ces contractions, il ait applique sur cet organe ses mains, preablement trempees dans Peau froide. A peine la reduction etait elle operee, qu^aux nausees, et aux efforts inutiles pour vomir succederent de veritables vomissements, qui amenerent au dehors les aliments, que le malade avait pris une demi-heure avant la blessure. * II. There are only three cases which have hitherto been taken advantage of for making observations on the chemical and physical properties and the digestive powers of the gastric juice. (15, 16, and 23.) 1. In the first of these (15), that of Magdelaine Gore, several chemical analyses of the gastric juice, and of the food undergoing digestion, were made by M. Clarion, more than half a centuiy ago. M. Clarion found the gastric juice to contain 9 parts in 1000 of muriates, and 16 parts of an animal principle, precipitated by both alcohol and tannin. He also ascertained that, although the contents of the stomach during digestion were always acid, the fluid collected in the morning before breakfast was perfectly neutral, and had a strong analogy to saliva. » Op. cit., p. 69. 2 Report on Physiology, ' Brit, and For. Med.-Chir. Rev.,' Jan., 1845, p. 273. ' Op. cit., vol. ii, p. 213, note. 'Bulletins de I'Acad. Roy. de M6d.,' 1844, vol. ix, p. 147.