The diseases of infants and children . roduced intestinal cause of a secondary dilatation may bediscovered only at autopsy. The diagnosishas often, therefore, an element of dilatation dependent upon rickets,chronic intestinal indigestion, or other debilitat-ing disease is associated with symptoms whichusually make the recognition of the cause acquired obstruction of an acute naturethe diagnosis of dilatation of either form iseasily made, based especially upon thechronicity of the —This depends, to some extent, upon the nature of thecause. C
The diseases of infants and children . roduced intestinal cause of a secondary dilatation may bediscovered only at autopsy. The diagnosishas often, therefore, an element of dilatation dependent upon rickets,chronic intestinal indigestion, or other debilitat-ing disease is associated with symptoms whichusually make the recognition of the cause acquired obstruction of an acute naturethe diagnosis of dilatation of either form iseasily made, based especially upon thechronicity of the —This depends, to some extent, upon the nature of thecause. Cases in which the diagnosis of stenosis can be made demandoperation; those the result of debility and digestive disturbance requiretreatment directed to these conditions. In idiopathic dilatation hygienicremedies should be employed, such as massage of the abdomen, givengently lest ulceration be present; electricity; and measures for the improve- 1 Centralbl. f. allgm. Path., 1907, XXIX, Amer. Med. Assoc, 1911, LVII, Fig. 256.—Idiopathic Dilata-tion OF THE of 2 years and 1month, in the Childrens Med-ical Ward of the Hospital ofthe University of constipation frombirth, sometimes a week with-out stool, distention began at5 months. Maximum girth inhospital 283^ inches ().Right inguinal colotomy per-formed. Temporary relief wasfollowed by failure of strengthand death. INTESTINAL OBSTRUCTION 781 ment of the general health. With this may be combined the administra-tion of strychnine. I have tried pituitrine without benefit. In all formsof dilatation the unloading of the bowels by purgatives and enemata is anunfortunate necessity. This must, however, be done .as infrequently aspossible, as it tends to weaken still more the muscular power of the injections are reciuired for this, but often must be accompaniedby abdominal massage to assist in expelling the liquid. Puncture of theintestine with a small canula and the
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