This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1867 Excerpt: ... approximating to the symptoms of intus-susception than one which I attended some years ago to its favourable termination, and in which a mass of half-chewed filberts could be slowly traced through a considerable length of the intestinal canal. In this instance, at the outset, pain and vomiting were severe; the tumour ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1867 Excerpt: ... approximating to the symptoms of intus-susception than one which I attended some years ago to its favourable termination, and in which a mass of half-chewed filberts could be slowly traced through a considerable length of the intestinal canal. In this instance, at the outset, pain and vomiting were severe; the tumour very suggestive; the mere obstruction, though decided, of no greater urgency than would well accord with the earliest stage of an intus-susception. Nevertheless, there was something wanting to the whole aspect of the case considered as an intussusception. And when the whole history of the patient's ingesta had been elicited, I was left in no doubt that it was an impaction of contents from which the intestine was suffering. Under the influence of sedatives, the mass, which had about the size of a pullet's egg, began to move from the inner edge of the right hypochondrium, almost vertically down the belly; and, in about a couple of days, reached the right iliac fossa, where it was gradually lost to palpation a few hours before that first relief of the bowels which announced the patient's recovery. For the ground of some wider generalizations respecting the obstructions of the small and the large intestine, reference must be made to the various lesions themselves as affecting these two sites. On the whole, it may be safely affirmed that obstruction in the small intestine runs a more rapid course, is marked by symptoms of greater severity, and is attended with greater danger, than when located in the large intestine. It is easy to understand this contrast, though difficult adequately to resolve it into all its ele 68 REMAINING OBSTRUCTIONS GROUPED. ments. Not only has the large intestine functions which are less complex, less delicate, and less ind...
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