. Annals of surgery . s within six inches of the ileo-cascal junction. The mass was irreducible and gangrenous, and the mesentery wasgangrenous to within an inch of its attachment to the lumbar column. INTESTINAL INTUSSUSCEPTION. 187 In addition, the intestines were deeply engorged and a quantity ofpus was found in the cavity. Resection of the mass and an end-to-end anastomosis with the Murphy button was performed, the abdomenthoroughly washed out with salt solution, and a gauze pack placeddown to the anastomosis. The patient bore the operation very welland reacted nicely. During the two days
. Annals of surgery . s within six inches of the ileo-cascal junction. The mass was irreducible and gangrenous, and the mesentery wasgangrenous to within an inch of its attachment to the lumbar column. INTESTINAL INTUSSUSCEPTION. 187 In addition, the intestines were deeply engorged and a quantity ofpus was found in the cavity. Resection of the mass and an end-to-end anastomosis with the Murphy button was performed, the abdomenthoroughly washed out with salt solution, and a gauze pack placeddown to the anastomosis. The patient bore the operation very welland reacted nicely. During the two days following the operation hewas given sixty cubic centimetres of Marmoreks serum without anyevidences of improvement. The condition of sepsis increased, andthe patient expired at the end of the fourth day following theoperation. Upon examining the specimen a mass of about two inches longwas seen protruding at the distal extremity, which was made out to bea Meckels diverticulum that had become inverted, and evidently was. Fig. I.—Specimen of intussusception, i, Intussuscipiens; 2, ileum;3, Meckels diverticulum (inverted) and intussusceptum. the cause of the intussusception. Upon cutting the specimen open,it was found to measure thirty-three inches in length. This extremelength was due to the tight manner in which the intussusceptum waspacked in the ensheathing intussuscipiens. (Figs, i and 2.) Case III.—Female, aged four months, seen September 18, extremely bad. Rapid, feeble pulse; cyanosis; 101° F.; abdomen distended, quite tympanitic. Notumor upon palpation, due to abdominal distention. Previous historyvague; had been ill for a week or more. The family stated thatseventeen physicians had seen the patient during her illness. A diag-nosis of intussusception had been made by the majority, and operationadvocated by some, but was refused. Finally the family begged thatan operation be performed. This was done within an hour of admis- 188 JOiL
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
