The practice of surgery . low its normal position. 1 G. E. Brewer, Amer. Jour. Med. Sci., October, 1907, and .Jour. Amer. , August lo, 1908. W. J. Mayo. Surg., Gyn., and Obstet., July, 1907. EdwinBeer, Amer. .Jour. Med. Sci., July, 1904. - For a fairly comprehensive account of abdominal ptosis the reader is referredto the writers Surgical Aspects of Digestive Disorders, 1905. ENTEROPTOSIS Gl There results a train of symptoms so complex, obstinate, and puz-zling tliat it is impossible often to determine what organs are at fault,and frequently symptoms are assigned to derangements of th
The practice of surgery . low its normal position. 1 G. E. Brewer, Amer. Jour. Med. Sci., October, 1907, and .Jour. Amer. , August lo, 1908. W. J. Mayo. Surg., Gyn., and Obstet., July, 1907. EdwinBeer, Amer. .Jour. Med. Sci., July, 1904. - For a fairly comprehensive account of abdominal ptosis the reader is referredto the writers Surgical Aspects of Digestive Disorders, 1905. ENTEROPTOSIS Gl There results a train of symptoms so complex, obstinate, and puz-zling tliat it is impossible often to determine what organs are at fault,and frequently symptoms are assigned to derangements of the stomach,kidney, or uterus, when the true condition is one of prolapse of the in-testines and stomach, which must be dealt with together. Gastricdilatatioii frequently is associated with gastric ptosis. As a result ofthese combined ptoses, we see a condition often assigned to neuras-thenia—the symptom-complex insomnia, irritability, headache, malaise,anorexia, abdominal pain, especially after meals, obstinate constipa-. Fig. 22.—Diagram showing normal position of liver, stomach, colon, and and ureters indicated by heavy black line. tion, dyspepsia. The patient is long waisted, emaciated, with a dryskin and flabby, pendulous abdomen. Rectal examination may dis-cover displaced pelvic organs, while the rectum, normally ballooned, iscollapsed and admits the finger with some difficulty. These patientsare in a condition of continual wretchedness; they are subject tooccasional crises of pain and to a constant sensation of falling topieces. Of course, there are lesser degrees of the malady, especiallyin young women who have not borne children, in whom neuralgias andobscure symptoms of discomfort alone suggest that the cause may beintestinal ptosis. 62 THE ABDOMEN Treatment.—Wc shall discuss later the extensive and grave ptosesof special abdominal organs, and the operations \vhich have been rec-ommended for their relief. As to the treatment of intestinal ptosis—
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