The vermiform appendix and its diseases / by Howard A. Kelly and E. Hurdon.

Date:
1905
Catalogue details

Licence: In copyright

Credit: The vermiform appendix and its diseases / by Howard A. Kelly and E. Hurdon. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    previous good health, received a blow in the abdomen, not instantly followed by bad effects. A few hours later, however, he began to have pain in the right iliac fossa, soon followed by other symptoms of appendicitis. A physician was sent for the next day, and at operation, on the third day from the injury, the appendix was found perforated; it contained two fecal concretions, in the middle of one of which was a foreign body. 25. W. B. Small. N. Y. Med. Rec, 1898, vol. 54, p. 364. A boy, nine years old, spent some time in pushing a heavy dump-cart with its tongue resting against his abdomen. Within twenty-four hours he was taken ill with appendicitis, and a physician was sent for. On operation the appendix was found to have sloughed away; there is no mention of a concretion. 26. Ibid, (from F. L. Dixon). A man, thirty years old, jumped from a small island to the mainland, and in the act he felt a pain in the right iliac fossa, so sharp as to force him to lie down at once. The pain lasted several days, and then dis- appeared. Three or four similar attacks preceded his final illness, in which he received no medical aid until near the end. On operation, numerous old adhesions were found, but no concretion is mentioned; he died a few hours later. 27. Ibid. (/ro?n F. L. Dixon). A man, twenty-seven years old, fell through a trap-door, for a distance of seven or eight feet, into a cellar. He complained at once of injury in the right side, but did not feel ill enough to send for a physician until the end of two weeks. On operation the appendix was found gangrenous, and it contained two enteroliths. 28. E. M. Pond. A^. Y. Med. Rec, April 23, 1898. A boy, twelve years old, received a blow on the abdomen, whose exact character is not stated. For two weeks afterwards he had some digestive symptoms and pain in the right iliac fossa; at the end of that time, while at a circus, he was suddenly taken ill with severe ab- dominal pain and vomiting, and two days later he was seen by a physician. A diagnosis of appendicitis was made, and on operation the appendix proved perfo- rated ; it contained a fecal concretion. 29. A. P. Gould. Lancet, 1898, vol. 1, p. 10. A man, twenty-four years old, who had always been robust, took an unusually long bicycle ride, after which he felt sick. Thirty-six hours later he began to suffer with pain in the right iliac fossa; and on the fourth day after the ride a physician was sent for. On operation for appendicitis the appendix was found perforated in four places, and it contained three fecal concretions. 30. M. Neumann. Langen. Arch. f. klin. Chir., 1900, vol. 62, p. 408. A boy, ten years old, in previous good health, ran against the tongue of a wagon, striking his abdomen with such force against it that he fell to the ground. The pain shortly afterwards increased so much that he was forced to go to bed, after which it spread through the whole abdomen, and was accompanied by vomiting, until, on the third day, he was taken to a hospital. Examination showed a distended abdomen, quick- ened breathing, a rectal temperature of 38.5° C, and dulness on the right side. Puncture let out a gray, stinking fluid; and a posterior incision, made on the fifth day, opened a foul abscess and exposed a thickened, gangrenous appendix. Death occurred on the seventh day, of fibrinous peritonitis, and at the autopsy a con- cretion was found in a necrotic appendix.