Two cases of hernia, both treated by laparotomy : I. A properitoneal hernia. II. A femoral Littré's hernia / by W.W. Keen.

  • Keen, William W. (William Williams), 1837-1932.
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of hernia, both treated by laparotomy : I. A properitoneal hernia. II. A femoral Littré's hernia / by W.W. Keen. 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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    Reprinted from the International Medical Magazine, February, 1892. TWO CASES OF HERNIA, BOTH TREATED BY LAPAROTOMY: I. A PROPERITONEAL HERNIA; II. A TRfi'S HERNIA. BY W. W. KEEN, M.D., Professor of the Principles of Surgery and of Clinical Surgery, Jeffe The following cases are of more than ordinary interest,—the first by reason of its rarity, and the second as a contribution to the present discussion on the proper treatment of hernia by laparotomy. PROPERITONEAL HERNIA; OPERATION; DEATH. Case I.-A. B., a young man aged twenty-three, was admitted to St. Afrnes's Hospital on June 15, 1889, just as I was about to leave the ward. He was sufferL severe pain and was evidently exhausted. He stated that for many vears he had 1Zl herniaon thenght side, and that two days ago, in consequence of vomiting it suddenly began to glve him great pain. He is quite sure that the vomiting produced the 2 and tenderness m the right groin. He had been under intelligent medicl ca e wi h intervals, but the matter had no fsecal odor, so far as he can describe it. Present Condttton.-He walked into the ward bending over in a stooping posturo His face expressed great pain, and he was in a condition of marked[shock H was bad,-congested1 and bluish. He was etherized at ^^tt^oj^ extending to the internal rij A t ™aS a n°li<*able Alness There seemed o be ul, LueHnnt * T h ** few miDute9' reproduced when preJurfw™^ M ^ M ™™^Y uppetVTlftLTroTut frsLPOint,re8P°Dding '0the rt™1 - ae ml omentum „rr;yUThe teZl ViZ ^ * ™ * Was much r.nnn-Paforl K«* , out sausage-like in shape, was found. It and removed752 t^SSEr' ? 7* 'mt° f°Ur <*>rti°°s. w» alsodUcovered'n the n„r, ' ,. S the SaC' A sma11 kM<*>e of bowe black, hnt, - Zt^^Tl^ltkTb T ™ dk' PUrP'iSh * redone the stnmp of the omentum ^^^^^