Partial enterocele / by Russell S. Fowler.

  • Fowler, Russell S. (Russell Story), 1874-1959.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Partial enterocele / by Russell S. Fowler. 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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    Upon die; that cases in which the diagnosis is made late die; that the only cases which recover are those recognized early and operated upon at once; that temporizing methods are necessarily fatal. Treves’s cases were four in number, and as they are excep- tionally interesting I will give a brief resume of the history in each case. Three of these cases died and one recovered. All were operated upon. Case I.—July 24, 1883; female, aged sixty-two years. Small, right-sided, femoral hernia. Three days before admis- sion she had experienced sudden pain in the region of the femoral canal with loss of appetite and prostration. On the second day she had vomited, had had some distention, and some colicky pain. She refused operation, so an ice-bag was applied. Five days from the onset, as there was no improvement, she submitted to operation. A partial enterocele of one-third of the circum- ference of the ileum was found. This was gangrenous. Two inches of the gut were excised. Death occurred two days later. There was constipation throughout. The specimen is to be found in the Museum of the Royal College of Surgeons. Case II.—August, 1884; female, aged forty-eight years. She had had a right femoral hernia for twelve years, which had always been reducible. Had never worn a truss. This had be- come strangulated. She had pain, and twelve hours afterwards an attack of vomiting. Her bowels moved on the first day. Operation was performed on the third day. A partial enterocele of the ileum was found without any gangrene. The vomiting continued. There was free purgation on the fifth day. Death occurred on the sixth day following operation from a low grade of peritonitis. No autopsy. Case HI.—March 3, 1885; male, aged sixty years. Small, right-sided, femoral hernia for eighteen years. Patient very thin. No truss. No previous trouble. Three days before admission patient coughed. There was pain at hernial site and tumor. Taxis was tried and failed. A poultice was applied. Bowels moved on evening of first day. On second day there was vomit- ing, pain increased, and there was hiccough. On the fourth day he was operated upon. Partial enterocele of ileum. There was omentum in the sac. Death occurred on the sixth day. He had