A CASE OF INTUSSUSCEPTION OF THE ILEUM INTO THE CCECUM AND ASCENDING COLON;
DEATH;
AUTOPSY.
By OCKHOY COOMAR Sub-Assistant
Surgeon,
in
DEY, L.M.S.,
charge of the
Cawnpore
Charitable Dispensary. A stout young man, aged about thirty years of age, -was brought to me, a few months ago, for treatment, and presented the following symptoms :?An expression of countenance indicative of great suffering and anxiety, a quick and feeble pulse, dry and furred tongue, frequent desire and attempts to have evacuations, urgent thirst, great irritability of the stomach, restlessness, and considerable flatulence and pain on pressure over the abdomen, which was much distended and prominent, especially in the right iliac fossa, presenting a resisting mass
that assumed the size of a doubled fist, and felt like coils of dull on percussion and very tender to the touch; urine abundant and of natural appearance; no inclination to take any kind of food. He was ordered?
intestine;
01: rieini; 01: terebinth a. a. Tinct: assafcetidae Spt: aether sulph:
Mucilaginis Enema by means of
..
?ij
..
5s3 n\.xx
..
Oj.
..
a
long
tube into the colon.
acted but little upon the bowels ; nothing passed except such matters as were thrown into the gut, tinged with excrementitious matters. The following medicines were next prescribed :? The
enema
Hydg: chlorid Opii One
pill
..
..
grs. v. gr. i.
m.
ft.
pil.
every four hours.
Turpentine stupes over the abdomen; effervescing draughts likewise given to allay the sickness. .Under this treatment the restlessness diminished, but the other symptoms remained unabated; the abdominal tenderness and distension increased daily, and the vomiting became stercoraceous; the injection was repeated, and the pills and fomentation were regularly given for the next two days after the commencement of the disease, but to no avail; on the fourth day, the pain suddenly ceased, and the patient manifested symptoms of collapse ; eyes sunk in their sockets, countenance worn, pulse feeble and irregular. Death took place on the morning of the fifth day after the first
were
The postexamination revealed the real condition of the internal structures. The peritoneum was of natural tone and texture. The small intestines were congested, distended with flatus, and slightly filled with fcecal matters. On laying open the large intestines, a portion of the ileum, about five inches in length, was found invaginated within the coecum and ascending colon, and the constricted part was almost in a state of mortification. This case reminds me of a similar one which occurred a few years ago in the Medical College Hospital, Calcutta, under the care of my much respected teacher, Dr. Chevers. In this subject a long portion of the ileum had passed through the ileo-ccecal valve into the large intestine.
symptoms of obstruction had evidenced themselves.
mortem
DEATH;
AUTOPSY.
By OCKHOY COOMAR Sub-Assistant
Surgeon,
in
DEY, L.M.S.,
charge of the
Cawnpore
Charitable Dispensary. A stout young man, aged about thirty years of age, -was brought to me, a few months ago, for treatment, and presented the following symptoms :?An expression of countenance indicative of great suffering and anxiety, a quick and feeble pulse, dry and furred tongue, frequent desire and attempts to have evacuations, urgent thirst, great irritability of the stomach, restlessness, and considerable flatulence and pain on pressure over the abdomen, which was much distended and prominent, especially in the right iliac fossa, presenting a resisting mass
that assumed the size of a doubled fist, and felt like coils of dull on percussion and very tender to the touch; urine abundant and of natural appearance; no inclination to take any kind of food. He was ordered?
intestine;
01: rieini; 01: terebinth a. a. Tinct: assafcetidae Spt: aether sulph:
Mucilaginis Enema by means of
..
?ij
..
5s3 n\.xx
..
Oj.
..
a
long
tube into the colon.
acted but little upon the bowels ; nothing passed except such matters as were thrown into the gut, tinged with excrementitious matters. The following medicines were next prescribed :? The
enema
Hydg: chlorid Opii One
pill
..
..
grs. v. gr. i.
m.
ft.
pil.
every four hours.
Turpentine stupes over the abdomen; effervescing draughts likewise given to allay the sickness. .Under this treatment the restlessness diminished, but the other symptoms remained unabated; the abdominal tenderness and distension increased daily, and the vomiting became stercoraceous; the injection was repeated, and the pills and fomentation were regularly given for the next two days after the commencement of the disease, but to no avail; on the fourth day, the pain suddenly ceased, and the patient manifested symptoms of collapse ; eyes sunk in their sockets, countenance worn, pulse feeble and irregular. Death took place on the morning of the fifth day after the first
were
The postexamination revealed the real condition of the internal structures. The peritoneum was of natural tone and texture. The small intestines were congested, distended with flatus, and slightly filled with fcecal matters. On laying open the large intestines, a portion of the ileum, about five inches in length, was found invaginated within the coecum and ascending colon, and the constricted part was almost in a state of mortification. This case reminds me of a similar one which occurred a few years ago in the Medical College Hospital, Calcutta, under the care of my much respected teacher, Dr. Chevers. In this subject a long portion of the ileum had passed through the ileo-ccecal valve into the large intestine.
symptoms of obstruction had evidenced themselves.
mortem
