Clinical surgical diagnosis for students and practitioners / by F. de Quervain ; translated from the 4th ed. by J. Snowman.

Quervain, F. de (Fritz), 1868-1940.

Date:: 1913

Credit: Clinical surgical diagnosis for students and practitioners / by F. de Quervain ; translated from the 4th ed. by J. Snowman. 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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$Abscesses of tJie fJiigJi may be mistaken for femoral herniae, if situated in the middle line immediately under Poupart's ligament; if towards the side, for an enlargement of the sub-iliac bursa. If the pus can be displaced at all, it goes back gradually, a hernia goes back with a jerk. If it is not displaceable—this is the rule—its consis- tence is generally elastic or fluctuating, which, of course, excludes a r Fig. 230.—Burrowing abscess in the iliac fossa in a case of sacro-iliac tuberculosis. Fig. 231.— Caries of the dorsal spine with a transversely divided burrowing abscess sac. hernia. An enlarged bursa is iecognized by its deep situation under the iliacus, whereas an abscess, even if it descends Avithin the sheatli of the muscle, always has a tendency to reach the surface. Manv burrowing abscesses are distinguished by possessing a subdivided sac (fig. 231). If the femoral abscess is situated lower down, it ma\-$