. American practice of surgery ; a complete system of the science and art of surgery . erance to a tube 20 cm. long, its average length being from 2 to 702 AMERICAN PRACTICE OF SURGERY. 5 cm. In width it may vary from a small fibrous band up to a diameter almostequal to that of the ileum. All the coats of the bowel are i)rcsent and the luueosamay contain Peyers glands. In long diverticula there may be a mesenteri-olum; but, if the diverticulum is short, this is usually absent. The diverticulmn becomes of practical importance to the surgeon by caus-ing approximately six per cent of the cases of
. American practice of surgery ; a complete system of the science and art of surgery . erance to a tube 20 cm. long, its average length being from 2 to 702 AMERICAN PRACTICE OF SURGERY. 5 cm. In width it may vary from a small fibrous band up to a diameter almostequal to that of the ileum. All the coats of the bowel are i)rcsent and the luueosamay contain Peyers glands. In long diverticula there may be a mesenteri-olum; but, if the diverticulum is short, this is usually absent. The diverticulmn becomes of practical importance to the surgeon by caus-ing approximately six per cent of the cases of intestinal obstruction. (Halsted.)The obstruction is usually caused by a loop of intestine becoming constrictedbeneath the diverticulum which has its extremity fixed. Obstruction mayalso be caused by inflammation of this structure (diverticulitis). Volvulusand intussusception are frecjuently caused by a diverticulum; or the bowelmay prolapse into an open diverticulum. The diverticulum has been found inboth umbilical and inguinal hernise. Cahier, in 1906, collected thirty-six cases. Fig. 264.—A Loop of Intestine at Seventeen Feet. The mesentery is opaque, and small tabs of fatbegin to appear along the mesenteric border of the bowel. The vessels are represented by a somewhatcomplicated network, and are seen with difficulty in the thick fat of the mesentery. (From Monks,in Annals of Siirgeri/, October, 1903. J. B. Lippincott Company, Philadelphia, Publishers.) in which there was an inflammation of the diverticulum with symptoms mark-edly similar to those of appendicitis. In one of our own cases, appendicitis anddiverticulitis were both present. The details of this case are, briefly, as follows:— The patient, a male, 36 years of age, had had three well-defined attacks ofappendicitis within a year. The last attack differed from the others in that therewere two distinct foci of pain and tenderness, one below McBurnej^s point andone about 12 cm, above it, nearly on a line with th
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
