Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 39.—Thoracoabdominopagus,{Sheffield. ,ith Ectopia Viscerum. overlooked, and carelessly tied oil with the umbilical rest. Ifthere is considerable eventration, the infants die early fromrupture of the sac and peritonitis. The first indication there- r • Reposition fore is to replace the prolapsed structures into the abdominal of prolapsed 11 i 11 r -iiii portion, and cavity and to keep them there by means of a suitable bandage, strapping. 146 CONGENITAL MALFORMA
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 39.—Thoracoabdominopagus,{Sheffield. ,ith Ectopia Viscerum. overlooked, and carelessly tied oil with the umbilical rest. Ifthere is considerable eventration, the infants die early fromrupture of the sac and peritonitis. The first indication there- r • Reposition fore is to replace the prolapsed structures into the abdominal of prolapsed 11 i 11 r -iiii portion, and cavity and to keep them there by means of a suitable bandage, strapping. 146 CONGENITAL MALFORMATIONS. Radical In this manner small hernias not rarely subside spontaneously,operation. Large hernias should he treated by a radical operation. PERSISTENCE OF THE DUCTUS OMPHALO- MESENTERICUS. (Vitellointestinal Duct). Physiologically, the omphaloentericus duct, the embryonictubular communication between the intestinal canal and the. Fig. 40.—Skiagram of Thoracoabdominopagus (same as Fi39), with Ectopia Viscerum. (Sheffield.) germinal vesicle, disappears at about the eighth week of fetallife. Occasionally the duct is not obliterated, and leads to thefollowing principal abnormalities :— 1. A fine fistula at the umbilical fine, forming a communica- MALFORMATIONS OF ALIMENTARY TRACT. 147 tion between the bowels and the exterior, and secreting a cloudyfluid containing a trace of fecal matter. 2. A hernial protrusion through the umbilicus in the formof a red finger-shaped tumor which is usually composed of theprolapsed walls of the fistula, but sometimes is composed ofintestinal loops. 3. Open Meckels diverticulum. It is a blind appendage ofthe lower part of the ileum, and may be free or united with theumbilicus by a solid cord. Under certain conditions it may enter Danger of a hernial sac and here become strangulated. It may produce by incarcerating some loops of the intestines, and giverise to
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
