The Chicago Medical Recorder Volume 25

The Chicago Medical Recorder Volume 25

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1903 edition. Excerpt: ... Dr. William E. Morgan for three typical cases seen by him. One, a corpulent man, during operation for intestinal obstruction, suddenly regurgitated a fluid of brownish color, which was drawn into his trachea, causing quick suffo'cation. I chanced to be present and saw this death. A second case was one of gastric carcinoma operated upon by Drs. Fenger and Morgan which died on the table by this same outpouring and drowning accident. 'The stomach had not been washed out. A third case of Dr. Morgan's, while being operated upon in a suburban town for bowel obstruction, had, to quote his language, -"a fecal explosion," strangled, and died on the table with the lungs full of the fluid vomit. I am now, therefore, more than ever confirmed in the belief that this accident of drowning is an ever present danger in septic laparotomies. The mechanism of this accident seems to me to be as follows: We will assume that the careful surgeon has washed out the stomach in these cases, yet starting with an empty stomach does not insure its remaining empty. Nothing has impressed me more than the enormous collections of fluid in large and small bowel obstructions which accumulate in the intestine. I have observed this partieularly in opening the abdomen in late cases of obstruction. Although everythingtaken by the mouth is vomited, 'still, in these cases, fluid accumulation goes on, so that the para lyzed-and distended bowel contains much more liquid than gas In a few cases where I drained the bowel by artificial anus or to facilitate handling, I have been amazed at the quantity poured out. Sudden access to the stomach from this great receptacle takes place, in my opinion, when the tonne of the pylorus and cardia is relaxed more

Product details

  • Paperback | 176 pages
  • 189 x 246 x 10mm | 327g
  • United States
  • English
  • black & white illustrations
  • 123682797X
  • 9781236827975