The Canadian journal of medicine and surgery . nescaped, but the mass was in no way diminished in size. Realiz-ing the presence of an unusual condition, I packed the openingin the vault and immediately entered the abdomen from Douglas sac almost completely was a tumor mass evi-dently springing from the sigmoid flexure, which had rotatedDO deg. and had become firmly embedded in the pelvis. It closelyresembled a rectal cancer. On careful manipulation it wasbrought out of the pelvis, and on inspection no lymph glands weredemonstrable. The diseased segment of gut was removed and an *
The Canadian journal of medicine and surgery . nescaped, but the mass was in no way diminished in size. Realiz-ing the presence of an unusual condition, I packed the openingin the vault and immediately entered the abdomen from Douglas sac almost completely was a tumor mass evi-dently springing from the sigmoid flexure, which had rotatedDO deg. and had become firmly embedded in the pelvis. It closelyresembled a rectal cancer. On careful manipulation it wasbrought out of the pelvis, and on inspection no lymph glands weredemonstrable. The diseased segment of gut was removed and an * Reprintcfl fniin tlie Journal of the Aiifrtraii Medical Asuocation, Xovi-inher 1, Canadian Journal of Medicine and Surgery. 38 end-to-end anastomosis done with Connell and Lemb:rt sutures,the former being employed at the mesenteric junction and forabout two-thirds the circumference of the gut. A portion of thedescending colon was brought up into a small incision in th3 le^tinguinal region and made fast, so that if occasion demanded it. FIGURE OF RECTUM WITH ABSCESS BETWEENBOWEL AND UTERUS. •could be opened with a thermo-cautery at a moments were then introduced into the vagina and also throughthe lower angle of the abdominal incision. At the end of thefourth day there was considerable abdominal distension and thepatient was very weak. We accordingly opened the descendingcolon at its point of attachment to the abdominal wall and at thesame time forced the patients nourishment. She promptly recov- 34 Canadian Journal of Medicine and Surgery. ered. The small fistulous opening- was a few weeks later readilyclosed under- local anesthesia, and the patient is now (March 1,1906) perfectly well. Examination of Tumor.—On laying the tumor open we fomidthat there were two rectal diverticula passing out into the adiposetissues, and communicating- with the lumen of the gut by open-ings not more than 1 mm. in diameter (Fig. 10). The largerdiverticulum
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