Congenital hypertrophic stenosis of the pylorus / by Edmund Cautley.

  • Cautley, Edmund, 1864-1944.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: Congenital hypertrophic stenosis of the pylorus / by Edmund Cautley. 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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    three months. Post mortem the pylorus formed a sausage-shaped thickening, with a lumen 5 mm. in- dia- meter, further narrowed by two longitudinal crest-like projections extending along the whole length of the hyper- trophied portion. In 1891 Gr. Newton Pitt (17) showed a similar specimen at a meeting of the Pathological Society of London. Case 6.—The child died at the age of seven weeks, having suffered from vomiting and constipation for* three weeks. The pylorus was an inch long, and formed of hypertrophied muscle. The wall of the stomach was also thickened. Henschel (18) in 1891 recorded four allied cases, one of which recovered. (i) Male aged’16 months ; had suffered with chronic gastric catarrh, habitual constipation, and temporary diarrhoea. The stomach was dilated and the pylorus thickened, but its lumen would admit the little finger. The next three cases were all in one family. (ii) Female aged 19 months. The parents had long suffered from gastric troubles. The child vomited every- thing for the first six months, and was constipated. It improved for a time, and died at two years from ex- haustion and excessive vomiting. The stomach was found dilated and the pylorus thickened, the lumen admitting a thick lead pencil. (iii) A sister died at 7 months with similar symptoms. No autopsy. (iv) A brother suffered with vomiting, constipation, and tympanites. He got better, and was seen when two and a half years of age. A fourth child of this family died of tuberculosis, and had abnormalities of the pylorus. None of these cases of Henschebs presented the typical thickening of the pylorus which I am considering. They are rather instances of partial narrowing of the pyloric orifice, and are valuable as indicating the liability