Intestinal Obstruction. the Jacksonian Prize Essay, 1883

Intestinal Obstruction. the Jacksonian Prize Essay, 1883

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1884 edition. Excerpt: ...and rounded. These ulcers may be met with in almost any part of the intestine, and often involve a great extent of the bowel. They are most common, however, in the lower ileum and about the ileo-csecal valve. When associated with marked tuberculous deposits and with tuberculosis elsewhere they seldom heal. The milder cases, however, cicatrise, and then the annular ulcers may produce some stenosis of the intestine. This stenosis is, I think, usually of a moderate degree. A specimen of stricture from tubercular ulcer is shown in Fig. 47. Returning to the intestine and examining the simple strictures of that tube that may be ascribed to cicatrisation after ulcer, one is impressed with the comparative valuelcssness of the classification of ulcers just given. In some instances there is no doubt that the stricture has followed a dysenteric or a tubercular ulcer, or there are good reasons for supposing that it has been due to a catarrhal ulcer, but certainly in the majority of the cases the conclusion as to the origin of the stricture is purely negative. It may be evident that it is not due to typhoid or to dysenteiy, or to tuberculosis, but beyond that the diagnosis, in a vast number of cases, does not and cannot go. Regarding these strictures collectively it may be said that they are usually definite and well limited. As viewed from the peritoneal surface they may appear merely as a wellmarked constriction of Fig.47.--Portion of Jejunum showing two Strictures, the result of tubercular Ulceration. The gut has been turned intndc out Bo as to Bbow the mucoua Burfnce. the gut, as if a cord or tape Lad been tied about it, or may have induced more distortion of the bowel. The former condition is perhaps more often met with in the large intestine and more

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  • Paperback | 142 pages
  • 189 x 246 x 8mm | 268g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236674502
  • 9781236674500