Transactions of the Southern Surgical and Gynecological Association (1920) (14760638606)

Identifier: transactionsofso3319sout (find matches)

Title: Transactions of the Southern Surgical and Gynecological Association

Year: 1920 (1920s)

Authors: Southern Surgical and Gynecological Association (U.S.)

Subjects: Surgery Gynecology Surgery Genital Diseases, Female

Publisher: (S.l.) : The Association

Contributing Library: Yale University, Cushing/Whitney Medical Library

Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

Text Appearing Before Image:

constipation from thestart. Temperature, 97°; pulse, 13(1, feeble. Provisionaldiagnosis of strangulation by bands was made. Onoperation a Meckels diverticulum was found about 2 feetabove the ileocecal valve; it was about 4 inches long, adherentat its tip to the posterior abdominal wall and to the root of themesentery opposite the second lumbar vertebra, and formingan aperture through which about 2 feet of ileum had becomeprolapsed and strangulated. The patient made an un-interrupted recovery and was discharged four weeks afteroperation. Cases IV, V, VI and VII.—Roscoe Graham,2 reports4 cases of intestinal obstruction due to Meckels divertic-ulum, three of which were operated upon by Dr. F. X. G.Starr. (a) The first patient, a woman, married, aged forty-fiveyears, was admitted to the Toronto General Hospital,complaining of severe pain in the right iliac region, which had 1 LaDcet, June 30, 1917, p. 998. 2 In the Journal of the Canadian Medical Association, November,1918, viii, 966.

Text Appearing After Image:

Loop of small intestine strangulated beneath a Meckelsdiverticulum. WILLIAM B. COLEY AND STANLEY T. FORTUINE 237 come on suddenly eight days before and lasted for three days,accompanied by considerable vomiting. She had had moreor less discomfort in this region ever since her first child wasborn, sixteen years ago. After the third day the painsbecame less severe, but left a dull soreness. Examinationshowed a temperature of 102°; pulse, 100; slight muscularrigidity on the right side and tenderness on palpation.Operation: Evacuation of appendicular abscess and removalof organ. After doing well for three days the patient becamesteadily worse and the probable diagnosis of paralytic ileuswas made; further operating was considered inadvisable.The patient died a week after operation. Postmortemexamination showed, 18 inches from the ileocecal valve, avolvulus of the ileum produced by Meckels diverticulumwhich had caused almost complete obstruction. (b) The second patient, a female, was admit

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1920

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