Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . The youngest case of theseries was twenty years and the oldest sixty-five years. OCCUPATION Individuals who had undergone hardships in early life, improper orinadequate food, together with prolonged exertion; and those of seden-tary habits with an overabundance of food, seemed predisposed to thedevelopment of this condition. 54 HAROLD MEEKER HEREDITY Four instances occurred in which more than one member of the samefamily was operated upon for similar conditions. Several patie
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . The youngest case of theseries was twenty years and the oldest sixty-five years. OCCUPATION Individuals who had undergone hardships in early life, improper orinadequate food, together with prolonged exertion; and those of seden-tary habits with an overabundance of food, seemed predisposed to thedevelopment of this condition. 54 HAROLD MEEKER HEREDITY Four instances occurred in which more than one member of the samefamily was operated upon for similar conditions. Several patientsstated that the parents, or other members of the family, had had similarsymptoms. If the origin of the bands in a particular case be embryonal,inherited tendencies or characteristics may be a factor; if evolutionaryor inflammatory, similar living conditions and habits may be responsiblefor the development of like bands in the same family. AVERAGE HISTORY OF TYPICAL CASE In considering an average history of cases in which a pseudocholecys-titis exists, two types should be kept in mind: those complicated by. Fig. 1.—Cholecystocolic band showing downward drag on gall bladder, upward pull on coloncausing angulation of gut when patient is in the upright position. bands involving other viscera, and the uncomplicated cases. In thisseries 80 per cent were complicated by bands involving the terminalileum, appendix or cecocolon; 10 per cent had either additional involve-ment of the small gut at the duodenojejunal angle, or of the pelvic colon,or both, or some other fixation band along the course of the gastro-intestinal tract. It will be seen that in most cases where bands occur inthe upper abdomen, adventitious structures will be found in other partsof the same cavuy and should always be looked for. In the average case of this group the symptoms are those of an intes-tinal toxemia of varying degree, in addition to local distress in the upperabdomen and, frequently, also at the site
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