Transactions of the Southern Surgical and Gynecological Association . o with the class of cases we have been considering. Dr. Cullen has called our attention to a very wise precautionthat should be borne in mind when we have evidence in a youngchild of the duct remaining open at the umbilicus as shown bythe discharge of fecal matter or a serous fluid. It means thereis a partially closed Meckels diverticulum and the possibilitylater in life of producing obstruction. I do not believe it is wiseto go down and cut about the umbilicus in these cases. Wehave at our hospital for the ruptured and crip
Transactions of the Southern Surgical and Gynecological Association . o with the class of cases we have been considering. Dr. Cullen has called our attention to a very wise precautionthat should be borne in mind when we have evidence in a youngchild of the duct remaining open at the umbilicus as shown bythe discharge of fecal matter or a serous fluid. It means thereis a partially closed Meckels diverticulum and the possibilitylater in life of producing obstruction. I do not believe it is wiseto go down and cut about the umbilicus in these cases. Wehave at our hospital for the ruptured and crippled many hun-dreds of cases of herniae in children every year. We have seena good many cases, such as Dr. Cullen described, where araspberry-like formation was present, and we have closed itby means of aseptic dressings and silver nitrate and have neveroperated on them. Diverticulitis is much more common in acuteobstruction. Inflammation resembling appendicitis is muchmore common in acute intestinal obstruction due to strangula-tion such as I have described Fig. 1—Muscles of the larynx.
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