Southern medicine and surgery [serial] . operationshould have indicated the obstruction wasbelow the first portion of the case shows that a patient does notnecessarily have an ulcer of the stomachjust because he vomits blood, passes it bybowel and has X-ray pictures suggestive ofit. Even after opening the abdomen wewere so sure the trouble was in the stomachwe wasted valuable time opening the stom-ach which might better have been employedexploring the bowel. The peritonitis fol-lowing the second operation was, I fear,due to soiling of the peritoneum at thetime of resection, altho
Southern medicine and surgery [serial] . operationshould have indicated the obstruction wasbelow the first portion of the case shows that a patient does notnecessarily have an ulcer of the stomachjust because he vomits blood, passes it bybowel and has X-ray pictures suggestive ofit. Even after opening the abdomen wewere so sure the trouble was in the stomachwe wasted valuable time opening the stom-ach which might better have been employedexploring the bowel. The peritonitis fol-lowing the second operation was, I fear,due to soiling of the peritoneum at thetime of resection, although we had a partialalibi in that the peritoneal covering of theintestine was somewhat damaged by the in-tussusception and the low resistance of thepatient due to loss of blood over a fourmonths period. ? of these only per cent are reviewing the literature relative tothe occurrence of intestinal tumors oneis struck with the wide variation given,and this applies especially to the benigntype. Post mortem statistics show a. Fig. 4. Case 2. Low power of sections oftumor shown in Fig. 3. Incidence. In children the questionof tumor as a causative factor in intus-susception does not enter until the ageof seven or eight years has been reach-ed whereas in adults a very large per-centage of intussusception is causedby tumors. Statistics for tumor as acause of intussusception range all theway from 20 per cent to 60 per centin adults. Only .5 per cent of all tu-mors occur in the intestinal tract and
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
