Excerpt from Canada Medical and Surgical Journal, Vol. 4: May, 1876
On making a digital examination it was found that the rectum was involved in the whole of its calibre by a dense cartilaginous, irregular mass. The obstruction began about one inch within the anus, beyond which lay two distinct strictures, through both of which the finger could be just passed. At the extremity of this again and just as far as the finger could well reach, was felt another but smaller opening through which the finger could not pass at all. The examination gave a great deal of pain. A No. 2 Rectal bougie was subsequently passed, and was found to be just the size of the uppermost constriction.
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