The treatment of mucomembranous colitis by colostomy / by John M. Elder.

  • Elder, John Munro, 1859-
Date:
1904
Catalogue details

Licence: In copyright

Credit: The treatment of mucomembranous colitis by colostomy / by John M. Elder. 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.

    7/12 (page 5)
    ment in two months. The condition had been present for seven years, and was characterized by diarrhoea, pain, emaciation, and weakness. Franke (7) reports a cure of a case of colitis by the same method. About the same time a case of chronic dysen- tery is reported from India as having been oper- ated upon, but resulting fatally on the third day, though I cannot obtain the original article. A colostomy was done here by Powell (8). Ballance and Godlee, quoted in Macpherson Lawrie’s article, have reported cases of colitis treated surgically. A case of the latter, in which a left sided colostomy was done, showed marked improvement, but the patient died from a recur- ring phlebitis, which had been present previously, and was not incident to the operation. Ballance severed the ileum from the caecum and brought both ends up to the surface, thus establishing complete rest for the lower segment. The pa- tient died of hypostatic pneumonia one week later, without peritonitis. Coming to the literature of the American sur- geons, we find cases of inguinal colostomy re- ported by several. William A. Sullivan (9) notes a case of amoebic dysentery, in which J. Henry Barbat, in April, 1900, did a right inguinal colos- tomy, with the result that in a few days after operation amoebae disappeared from the stools, and he was able to close the bowel in four months. A very interesting case of hyperplastic colitis is one in which Howard Lilienthal (10) first did a left sided colostomy, and the mucous membrane