Eleven cases : roentgenographic and operative findings / by A. Judson Quimby, M.D., New York City and William Seaman Bainbridge, A.M., Sc.D., M.D., New York City.

  • Quimby, A. Judson (Adoniram Judson), 1875-
Date:
[1914?]
Catalogue details

Licence: In copyright

Credit: Eleven cases : roentgenographic and operative findings / by A. Judson Quimby, M.D., New York City and William Seaman Bainbridge, A.M., Sc.D., M.D., New York City. Source: Wellcome Collection.

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    No. IV. E. Radiographic Findings (Before Operation) Male, 38. Evidence of adhesions of first portion of duodenum. Operation, N. Y. Poly¬ clinic Hospital, March 24, 1914. Chronic appendicitis. While appendix readily drains, it is placed in an unfavorable posi¬ tion, especially when patient is erect. There is evidence that it is kinked. Loosely formed adhesions be¬ tween ascending and transverse colon, producing an acute angu¬ lation in the latter portion of colon. A mesenteric band or a contracted mesentery just above iliac crest on ascending colon. Patulous ileocecal valve. There may be a band just above cecum. Operative Findings Healed ulcer of duodenum 44 in. beyond pyloric orifice. Below site of ulcer a number of bands extended from behind across duodenum, indenting it toward transverse colon and greater curvature of stomach. Transverse colon much col¬ lapsed. Hepatic flexure hung downward almost to umbilicus. Splenic flexure well supported. Mobile cecum; posterior band was anterior and below, forming an angle, around a fixed point at the base of the appendix. The mid-point of the appendix, which was five inches long, represented a band extending into pelvis, around which mobile cecum ro¬ tated. Patulous ileocecal valve. Dilated terminal ileum. Several adventitious bands about sigmoid. Ileopelvic (Lane’s band) with meso-appendix attached to it. lfi