. Diseases of the rectum and anus: designed for students and practitioners of medicine. and was lanced on the eighth day, and the pus evacuated. Tlie in-cision was too small, and in spite of fresh poultices it closed again. The pain 272 DISEASES OF THE RECTUM AND ANUS and throbbing returned for a few days, when the abscess burst, and a largequantity ofpus escaped. This occurred a number of times; each time theopening closed a new abscess formed, and new openings appeared on the but-tocks above and in front of the anus in the perineum. During this time hissuffering had been very great, notwiths
. Diseases of the rectum and anus: designed for students and practitioners of medicine. and was lanced on the eighth day, and the pus evacuated. Tlie in-cision was too small, and in spite of fresh poultices it closed again. The pain 272 DISEASES OF THE RECTUM AND ANUS and throbbing returned for a few days, when the abscess burst, and a largequantity ofpus escaped. This occurred a number of times; each time theopening closed a new abscess formed, and new openings appeared on the but-tocks above and in front of the anus in the perineum. During this time hissuffering had been very great, notwithstanding the fact that he had used manymedicines, lotions, and ointments. A surgeon proposed an operation, but thiswas refused, because the patient did not Avant to be confined to bed. Atlength his suffering became so great that he submitted to proper first seen his general health was good, and he complained of nothingexcept the pain and itching caused by the discharge, which kept the parts aboutthe anus irritated. The skin immediately surrounding the openings was of a. Fig. 91.—Horseshoe Fistula with Multiple Openings. dull, purplish-red color, and the indurated fistulous sinus could be easily tracedalong the subcutaneous tissues with the finger; there Avere five well-markedopenings (Fig. 91): two in the perineum, two on the left buttock, and oneon the right buttock; one of the perineal openings was just below the scrotalattachment near the center, the other was one inch ( centimeters) belowand a little to the left of the upper one. One of the openings on the leftbuttock was one and a half inches ( centimeters) from and a little abovethe anus, while the other was below and about one inch ( centimeters)from the anus. The opening (Fig. 91) on the right side was situated far outon the buttock, about five inches ( centimeters) from the anus. Exami-nation showed that the perineal openings communicated with each other TREATMENT OF ANO-RECTAL FISTULA 2
Size: 1732px × 1443px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
