The diseases of infants and children . ent fecal accumulation. Appendicitisacts in a similar manner. Foreign bodies in the intestine, includinghere especially a fecal impaction, are occasionally causes, as are tumorspressing upon the intestine, and rarely a mass of ascarides in the this last Doberaner* collected 24 rei)orted instances. IVrret and Zieinsson Haiidh. spec. Patli. u. IlKnij)., 1S7.), VII, 2, 3G1).= Univ. of Pcnna. Med. Hull., 1907. XX. PraR. lucd. VVochonschr., 1914, XXXIX, 197. 784 THE DISEASES OF CHILDREN Simon^ have added others, includino; an interesting case observed
The diseases of infants and children . ent fecal accumulation. Appendicitisacts in a similar manner. Foreign bodies in the intestine, includinghere especially a fecal impaction, are occasionally causes, as are tumorspressing upon the intestine, and rarely a mass of ascarides in the this last Doberaner* collected 24 rei)orted instances. IVrret and Zieinsson Haiidh. spec. Patli. u. IlKnij)., 1S7.), VII, 2, 3G1).= Univ. of Pcnna. Med. Hull., 1907. XX. PraR. lucd. VVochonschr., 1914, XXXIX, 197. 784 THE DISEASES OF CHILDREN Simon^ have added others, includino; an interesting case observed andfigured by them (Fig. 257). An incarcerated strangulated hernia is anoccasional cause in children. By far the most frequent cause, however,is intussusception. The symptoms of most of these conditions develop suddenly and arevery similar to those in congenital cases, as already described; but thediagnosis of the cause of the obstruction is often impossible. Intus-susception and hernia will receive separate Fig. 257.—Intestinal Obstruction by mass of approximately 40 worms expelled in a case of acute intestinal obstruction in agirl of 8 years. (Perret and Simon, Jour. Amer. Med. Assoc, 1917, LXVIII, 245.) The prognosis is more favorable- than in congenital stenosis, sincethe patient is older and the tolerance for operative interference conse-quently greater, and since the cause is frequently a removable one. ? INTUSSUSCEPTION Etiology.—The disease constitutes one of the more frequent forms ofintestinal obstruction in children. Decidedly over half of the casesoccur in the 1st year of life and most of the remainder in the 2d is unusual in the first 3 months, but has })een seen as early as the 2dday. In 293 cases collected by Pilz- 158 were in the 1st year. In 314cases studied by Hess^ 201 were in the 1st year, but only 8 cases inthe first 3 months; the 2 youngest in children each 6 days old. Of 397Danish cases reported by Koch and Oerum^
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