StThomas's Hospital reports . of Abdominal Surgery. drink, which he immediately vomited. Urine was veryscanty. A morphia injection induced sleep for the first timefor four nights. On the fifth day the vomit was describedto be like a diarrhoea stool, and the patient was brought tohospital. On admission.—A much emaciated boy, vomiting fre-quently large quantities of a dark brown faeculent fluidand complaining of intense abdominal pain. Completeobstruction for five days. Abdomen moderately distendedand its walls rigid and motionless. Resonance all signs in lungs. Cough frequent, a
StThomas's Hospital reports . of Abdominal Surgery. drink, which he immediately vomited. Urine was veryscanty. A morphia injection induced sleep for the first timefor four nights. On the fifth day the vomit was describedto be like a diarrhoea stool, and the patient was brought tohospital. On admission.—A much emaciated boy, vomiting fre-quently large quantities of a dark brown faeculent fluidand complaining of intense abdominal pain. Completeobstruction for five days. Abdomen moderately distendedand its walls rigid and motionless. Resonance all signs in lungs. Cough frequent, and expectora-tion purulent. Temperature 98*8°; pulse 120. Patientwandering at intervals. In the absence of Dr. Ord the patient was seen by , who advised exploration. Chloroform was given anda median incision made below the umbilicus. The intestinesappeared healthy, and on introducing a finger into theabdominal cavity, a tense rounded cord was discovered,passing from the right iliac region to the umbilicus. Fig. a. Blind bulbous end of diverticulum. b. Seat of constriction. c. Origin of diverticulum from intestine. On further examination this proved to be a diverticulumfrom a coil of small intestine close to the caecum, which wastightly compressing the same coil about nine inches higher up(Pig. 1). At the constricted spot the intestine was greatly Eight Gases of Abdominal Surgery. 171 narrowed, being about the size of a No. 16 catheter, and whiteand cicatricial in appearance. There were no signs of in-flammation. The wound was now enlarged upwards ashigh as the left side of the umbilicus, and the upper end of thediverticulum dissected out. It was found to terminate in adilated blind end, lobulated, and about the size of a largecherry. A clamp was now lightly applied to the lower endof the diverticulum, which was then cutoff about 1^ inchesfrom its attachment to the bowel. After washing out thelumen, the cut extremity was inverted by means of a rowof Lemberts sutu
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