Annual report of the Peter Bent Brigham Hospital : 1929.

  • Peter Bent Brigham Hospital.
Date:
1929
Catalogue details

Licence: Public Domain Mark

Credit: Annual report of the Peter Bent Brigham Hospital : 1929. Source: Wellcome Collection.

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    primary diagnoses of ulcer, four others being second¬ ary diagnoses. Of the total (151) there were but fifteen operations, or 10 per cent. Of these seven were partial gastric resections with gastro-enteros- tomy, four were posterior gastro-enterostomies, and four were plication and suture of perforated ulcers. The total number in the hospital is less than half of the 366 cases seen in our department. The third class, jejunal ulcers, belongs in this same group and the striking thing here is the well-knowrn propensity of peptic ulcer to form on the margin of a perfectly functioning gastro-enterostomy. The sec¬ ond group, duodenal diverticuli, are of no clinical im¬ portance, in all probability, being congenital anomalies of only anatomical interest. The small number (four) of diagnoses of appendicitis is probably an index of conservatism, possibly an admission of inability to make a diagnosis of “chronic appendicitis.” From a perusal of reports sent in by roentgenologists in pri¬ vate practice it seems that some of them make a much more frequent diagnosis of this debatable condition. Miscellaneous Conditions The odds and ends which cropped up during exam¬ ination are noted below in Table 4: Table 4 Miscellaneous Cases Diagnosis deferred . 5 Extrinsic tumors . 4 Tuberculosis of cecum . 2 Ventral hernia . 2 Meckel’s diverticulum . 1 Benign tumor-duodenum . 1 Polyposis gastrica . 1 Gastric diverticulum . 1