. American practice of surgery ; a complete system of the science and art of surgery . ongenital mal-formation which tends to produce volvulus of thesigmoid. An abnoimal shortening of the root of the mesentery has allowed thefonnation of a volvulus of the entire small bowel, ^^aughan has collected twenty-one such instances. It frequently occurs in connection with hernia; and vol-vulus of the small intestine has occurred during the course of typhoid fever,the symptoms in such a case resembling closely those of a perforation. Though volvulus is a rare condition in the small intestine, Richter co


. American practice of surgery ; a complete system of the science and art of surgery . ongenital mal-formation which tends to produce volvulus of thesigmoid. An abnoimal shortening of the root of the mesentery has allowed thefonnation of a volvulus of the entire small bowel, ^^aughan has collected twenty-one such instances. It frequently occurs in connection with hernia; and vol-vulus of the small intestine has occurred during the course of typhoid fever,the symptoms in such a case resembling closely those of a perforation. Though volvulus is a rare condition in the small intestine, Richter collectedthe cases which had been reported previously to 1901; he found a total of sixty-six, forty-one of which were in the ileum. Scudder recently reported an instanceof volvulus of the jejunum, practically at its origin. The symptoms are those common to other forms of intestinal volvidus of the sigmoid marked distention and the presence of a mass inthe left side are characteristic features. A diagnosis other than that of ob-struction cannot, however, always be h h Fig. 278.—DiagrammaticVertical Section of a SingleIntestinal Intussusception.(From Bryants OperativeSurgery, D. Appleton & Co.,New York, Publishers.) a, The apex; h b, the neck;c c, the entering layers; d d, thereturning laj^ers; c and d, theintussusceptvmi; e e, the intus-suscipiens; / /, the jDeritoneum;g g, the rauscular coat of theintestine; h h, the naucousmembrane of the intestine. EXPLANATION OF PLATE of Both the Superior and the Inferior Mesenteric Arteries. Fig. 1 shows gangrene of large and small bowel due to embolism of both superior and inferior mesenteric arteries. Fig. 2 shows location of emboHsm in superior mesenteric artery, causing gangrene of small intestine. Fig. 3 shows location of embolism in inferior mesenteric artery, causing gangrene of descending colon. /AMERICAN PRACTICE OF SURGERY PLATE LI


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906