On gastro-colic fistula : a collection of cases and observations on its pathology, diagnosis, etc. / by Charles Murchison, M.D.

  • Murchison, Charles, 1830-1879.
Date:
[1857]
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Licence: Public Domain Mark

Credit: On gastro-colic fistula : a collection of cases and observations on its pathology, diagnosis, etc. / 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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    torn, xix., p. 214. Dr H. Green, Treatise on Diseases of Air Fas- sages. Viglas, in Prag. Vierteljahrschrift, vol. li., Sup. p. 30. Cruveil- hier, Traite d'Anat. Path., ii., 537-8. Several cases in Guy's Hosp. Museum, see Dr Habershon, Guy's Hosp. Pep., 3d Ser., ii., 215 and 221. Dr Wilks, Tr. Path. Soc. Lond., vi., 179. Dr Ogle, Tr. Path. Soc.f vii., 52. The fistu]a3 in these cases have resulted from simple or cancerous ulceration, but in Dr Ogle's case the opening was congenital. In most, the disease appears to have commenced in the oesophagus, where the opening has been much larger than in the trachea; but in one (Guy's Hosp. Museum, Prep. 1711) it evidently commenced in the trachea. 7. Between the (Esophagus and Bronchi; of which the following are references to cases :— Dr Sym, Edin. Med. and Surg. Journal, 1835. Two cases by Dr Berton in Dublin Med. Journal, vol. vii., p. 127. Dr Winn, Med. Times, Old Ser., vol. xiii., p. 386. Cruveilhier, Traite d'Anat. Path., ii., 538. Salter, in Lancet, 1853, ii., 411. Habershon, Guy's Hosp. Pep., 3d Ser., ii., 230. In the majority of these cases, the conununication has taken place between the oesophagus and left bronchus, a circumstance which is fully explained by the anatomical relations of the parts—the more longitudinal course of the left bronchus, and the situation of tlie oesophagus rather to the left of the mesial line. In one case only, have I found it stated that the opening was into the right bronchus ; and here it resulted from the softening of a large scrofulous gland, lying between and connecting the two. 8. Between Qllsophagus and Pleura.—A case in the Museum of St Bartholomew's Hospital (Ser. xxiv., No. 14) shows an abscess of the neck, w^hich burst into the right pleura and oesophagus, produc- ing a plenro-oesophageal fistula and pneumo-thorax. 9. Betioeen (Esophagus and Aorta.—This is a not unfrequcnt ter- mination of aneurism of the aorta. A case also has been recorded by Mr Flower, in which a similar result followed a jierforating ulcer of the opsoi)hagus {Dublin Med. Press, xxx., p. 17, and Assoc. Med. Journal, i., 722). 10. Betioeen (Esophagus and Pericardium.—Three such cases have been recorded:— Dr Sym, Edin. Med. and Surg. Journal, 1835; Mr Trotter, Tr. Path. Soc. fjond., 1847 (prep, of this case in Museum of St Mary's Hosp., C. a. 2); and Dr Parkes, Tr. Path. Soc, ii., 40. Fistulte of the digestive passages, below the diaphragm, may be divided into Gastric, Cystic, Intestinal, Intestino-urinary, and In- testino-genital. I. Gastric-Fistula'.—Of these there are the following varieties :— 1. Gastro-Colic Fistidw, or communications between the stomach and colon, the subject of the present memoir.