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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    iliac fossa. This tissue, composed of altered omentum, was remarkably firm and rigid, with a number of minor adhesions to the surrounding intestines. The band was divided and as much of it removed as possible. The patient made an interruptedly good recovery, all symptoms of abdominal discomfort rapidly disappearing. He has since remained well, with the exception of an occasional attack of diarrhoea. CASE 3. G. H., a professional brother, was seen, in consultation with Dr. Samson Gemmell, in the country in April, 1894. At several periods within eighteen months there had been attacks of abdominal pain, generally lasting an hour or two. In November of 1893, however, an extremely acute attack of pain occurred, necessitating rest in bed for three days. The pain was not localized, and was not attended with rise of tem- perature nor abdominal distension. The acute pain lasted eight hours, and after two days in bed the patient felt so well that he left his bed only to return to it in a few hours with another severe attack of pain, attended with vomiting and hiccup. There was now some rigidity of the abdominal muscles on the right side and a tender swelling in the neighbourhood of the appendix. From this time onwards there were constantly recurring attacks of pain at intervals of a few days, and at one time only as long as three weeks. When seen the patient was very pale and thin. The only physical sign was a distinct thickening in the region of the appendix. This swelling was ill-defined in outline, and not painful on pressure. There was no abdominal distension. In view of the persistent abdominal trouble it was decided to open the abdomen, for which purpose the patient was removed to a nursing home in Glasgow. On opening the abdomen along the outer border of the right rectus muscle the caecum, ileum, and bladder were found firmly united by a dense cicatricial mass, to which the omentum was adherent. After liberating the omentum the middle band of the caecum