Unexplained perforation of the esophagus in a girl ten years old / by George I. Miller.

  • Miller, George I.
Date:
1911
Catalogue details

Licence: In copyright

Credit: Unexplained perforation of the esophagus in a girl ten years old / by George I. Miller. 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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    UNEXPLAINED PERFORATION OF THE ESOPHAGUS IN A GIRL TEN YEARS OLD. BY GEORGE I. MILLER, M.D.* Instructor in Operative Surgery, Post-Graduate Medical School, New York; Surgeon to St. Mark’s and People’s Hospital, New York; Associate Surgeon, Jewish Hospital, Brooklyn, New York. On November 24, 1910, I was called by Dr. F. to see his pa- tient Gertrude G. 10 years of age. Family history, negative. Previous history, no similar attacks or anything relating to the present condition. She was perfectly well and attended school the day before her present illness, which began about 10 hours before my arrival. She ate a light supper, consisting of tea, bread and butter. During the night the child was suddenly awakened from her sleep with nausea and pain in the upper part of the epigastrium. She vomited several times small quantities of greenish material. No blood. Her bowels moved once during that day, following a cathartic. Her condition at the time I saw her was one of profound shock, marked pallor, the pulse rapid, irregular, and at times imperceptible. Her respiration was rapid and stertorous, lips cyanotic, and semi- consciousness. The patient complained of pain in the epi- gastrium and upon palpation she was found to be exquisitely tender on the right upper half of the epigastrium. There was dullness and flatness in the right hypochondrium, and marked tympanitis on the left side and epigastric region. The doctor in attendance had given calomel in small doses. The stomach pump was not used. The history and general appearance of the patient, with the rapid and stertorous breathing suggested perforation near the cardiac end of the stomach which I ventured to diagnose. The patient was sent and admitted to the Jewish Hospital of Brooklyn within an hour. •Specimen presented. Reprinted from THE POST-GRADUATE for March, 1911