The surgical treatment of wounds and obstruction of the intestines / by Edward Martin and H.A. Hare.

  • Martin, Edward, 1859-1938.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: The surgical treatment of wounds and obstruction of the intestines / by Edward Martin and H.A. Hare. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    CHAPTER I. CONGENITAL MALFORMATIONS. Under this heading are considered anomalies or malformations of the bowel itself rather than of its environments, though upon a fissure or defect of the diaphragm, or upon abnormal persistence of the omphalo-mesenteric duct, may depend an occlusion no less abso- lute than that characterizing closure or absence of a part of the bowel. The obstruction is, in the great majority of cases, dependent upon malformation, or absence of the rectum or anus. In the rare cases of coarctation, or atresia (iraperforation), in the continuity of the intestinal canal, the lesion may be situated at any portion of the alimentary tract, though as a result of the study of many cases the seats of preference seem to be, in the small intes- tine, the duodenum, and the region of the ileocsecal valve; in the large intestine, the sigmoid flexure. Apitz^ records a case of imperforation of the oesophagus, the lat- ter ending: in a blind cul-de-sac. Cases of atresia at or about the region of the pylorus are on record. Turner^ describes the autopsy of an infant in which there were two portions of the jejunum reduced to fine impermeable bands. Pied^ has observed the com- plete separation of the duodenum from the jejunum. The absence or stricture of portions of the ileum (Blat.,* Andrews,' Loblig- eois®), or colon (Cohen,' Thomas,^ etc.) has been occasionally recorded. Thomas notes the complete absence of jejunum, ileum, and the greater part of the colon. ' Allgemein. Deutsch, Hebammen. Zeitung, 1. 2 Edinburgh Med. Jour., 1863^, ix. 3 Jour, de Med. Chirurg. et Pharm., 1802, iii. * Bulletin Soc. Anat. de Paris, 1849, xxiv, 1856. 5 Peninsular Med. Jour., Ann Arbor, 1853-4. 5 De rOblit. Congen. des Intestines, 4°, Paris. 7 Med. Zeitsch., Berlin, 1838, vii. * Lancet, London, 1884.