A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Internal strangulation caused by aband (a b) passing from the omentumto the anterior abdominal wall. CD,the strangulated loop of bowel. (Till- MANNS. ) Internal strangulation caused byan intestinal diverticulum whichhad wound itself about a loopof small intestine {DD). (Till- MANNS.) Twist of the bowel, or volvulus, occurs particularly in old peopleand usually at the sigmoid or ileo-cpecal region. Actual knotting ofthe bowel has
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Internal strangulation caused by aband (a b) passing from the omentumto the anterior abdominal wall. CD,the strangulated loop of bowel. (Till- MANNS. ) Internal strangulation caused byan intestinal diverticulum whichhad wound itself about a loopof small intestine {DD). (Till- MANNS.) Twist of the bowel, or volvulus, occurs particularly in old peopleand usually at the sigmoid or ileo-cpecal region. Actual knotting ofthe bowel has been discovered. The prostration, however, is not soextreme as in internal strangulation. The abdomen is often unevenlydistended, one side being rather flattened while the other is remark-ably tympanitic. It is the right side which most frequently showsflattening, because the sigmoid portion of the colon is the most fre-quent seat of trouble. The accumulation of gas in the intestines israpid and great. Obstruction from stricture or tumor is usually chronic, and affectsthe large bowel more frequently than the small. A history of gradualconstipation can at times
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