Some remote effects of appendicitis ; Two cases of papilloma of rectum treated by excision of mucous membrane / by T. Kennedy Dalziel, M.B., C.M., F.F.P.S., [Assistant Surgeon, Western Infirmary ; Surgeon, Royal Hospital for Sick Children].

  • Dalziel, T. Kennedy.
Date:
[1897?]
Catalogue details

Licence: Public Domain Mark

Credit: Some remote effects of appendicitis ; Two cases of papilloma of rectum treated by excision of mucous membrane / by T. Kennedy Dalziel, M.B., C.M., F.F.P.S., [Assistant Surgeon, Western Infirmary ; Surgeon, Royal Hospital for Sick Children]. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    SOME REMOTE EFFECTS OF APPENDICITIS. By T. KENNEDY DALZIEL, M.B., C.M., F.F.P.S., Assistant Surgeon, Western Infirmary; Surgeon, Royal Hospital for Sick Children. The subject of appendicitis, its pathology and treatment, has for some years occupied so much attention from the profession that the following group of cases, illustrating some of the remote consequences of the affection, may not be without interest. Whether the original affection of the appendix be catarrhal, ulcerative, or gangrenous, with or without the presence of a foreign body, it is evident that secondary results may follow from extension of the inflammation to the surrounding structures, leading to adhesion of the appendix and caecum, or of the neighbouring viscera—the one to the other. Second- ary structural change may ensue from destructive changes in the appendix and adjoining caecum, or from absorption of sepsis or tuberculosis the lymphatic glands may become so enlarged as to give rise to trouble. An interesting feature in the group of cases under consideration is that the primary appendicitis had not in any of them progressed to suppuration, and had, indeed, in several been of such a slight nature as to have been overlooked, till careful cross-examination elicited facts pointing to the nature of the disease. Naturally the most frequent cause of trouble results from adhesions, which, giving rise to colic on the slightest provoca- tion, may render life a burden, or endanger it by leading to strangulation of a loop of intestine. The anatomical relations of the appendix are so well known that it is unnecessary to dwell on them, though, as several of