Transactions of the American Association of Obstetricians and Gynecologists for the year ... . chment consistedof three forks; one to right of gall-bladder, one to gall-bladder, andone to left of gall-bladder. This went almost to gastrohepaticomentum, across transverse colon. Distinct duodenojejunal adhesions around old appendix stump. Cecum dilated. Peri- ABDOMINAL QUADRANT. 307 colic bands along cecum and ascending colon. Right tube andovary absent. Uterus retroverted and retroflexed. Last kind ofpelvic colon markedly angulated. Bands and adhesions were treatedin the usual manner res
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . chment consistedof three forks; one to right of gall-bladder, one to gall-bladder, andone to left of gall-bladder. This went almost to gastrohepaticomentum, across transverse colon. Distinct duodenojejunal adhesions around old appendix stump. Cecum dilated. Peri- ABDOMINAL QUADRANT. 307 colic bands along cecum and ascending colon. Right tube andovary absent. Uterus retroverted and retroflexed. Last kind ofpelvic colon markedly angulated. Bands and adhesions were treatedin the usual manner restoring, as far as possible, normal continuityof hollow viscera. Uterus anchored forward by Johnson-Willisoperation. Duodenojejunal band stretched, as it was found un-necessary to bisect it. Subsequent History.—Convalescence prolonged but report, July 1919. Old symptoms entirely relieved. Goodgeneral condition. Walks perfectly well. Able to do her own work. Case V.—A. Z., aged thirty-five; male; married. Referred byDr. John E. Breglia, New York. First seen March 8, Fig. 6.—1. Gall-bladder. 2. Hepatic flexure. 3. Y-band with two armsdownward supporting transverse colon across duodenum by attachment to fundusof gall-bladder. 4. Thickened edge of great omentum. Previous Personal History.—Recurrent mild attacks of appendi-citis with constipation, and at times distress in the right hypochon-drium. Examination.—Tenderness over appendicular region, high placedappendix. Diagnosis.—Intestinal toxemia with relapsing appendicitis. Operation.—Polyclinic Hospital, New York, March 9, 1917. Laparotomy.—Conditions found as shown in drawings VI and VII. Appendix found chronically diseased with some adhesions. Be-ginning diverticulum of cecum. Distinct constriction of transverse-colon, even in supine posture, a band from gall-bladder, extendingfrom base to fundus, across duodenum to gastro-colic omentum,folding up omentum which was tightly adherent to gall b
Size: 1535px × 1628px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1900, booksubjectgynecology, booksubjectobstetrics
