. Journal of anatomy. Fig. 1.—Atresia ot ileum. to this was an intermediate zone of connective tissue, continuous with theinterglandular tissue surrounding the basis of Lieberkiihns glands. These A Case of Congenital Atresia of the Ileum G7 lay in the third or outer zone. In the intermediate zone the epitlieliumhad degenerated, and was replaced by a granular material and fibrinousbands. A drawing of a somewhat similar case was kindly sent by ProfessorP. Thompson for exhil)ition with my own specimen. The imperforate partof the intestine in his case was, however, much nearer the ileo-caecal valv
. Journal of anatomy. Fig. 1.—Atresia ot ileum. to this was an intermediate zone of connective tissue, continuous with theinterglandular tissue surrounding the basis of Lieberkiihns glands. These A Case of Congenital Atresia of the Ileum G7 lay in the third or outer zone. In the intermediate zone the epitlieliumhad degenerated, and was replaced by a granular material and fibrinousbands. A drawing of a somewhat similar case was kindly sent by ProfessorP. Thompson for exhil)ition with my own specimen. The imperforate partof the intestine in his case was, however, much nearer the ileo-caecal valve,and the intestine w^as reduced to a fibrous cord running along the free »•?. Fig. 2. —Transverse section throughimperforate .part of ileumsliowing thrombosed vessels in the mesentery. border of the mesentery and joining the proximal and distal parts of theintestine. The interest of these cases lies principally in the possibility of savinglife by intestinal anastomosis. Quite recently N. P. Ernst of Copenhagenhas published (1) a case in which he succeeded in saving the life of a childby performing a duodeno-enterostomy for an atresia situated below thepapilla of Vater. He brought a coil of jejunum 4 inches from the duodeno-jejunal flexure upwards in front of the transverse colon, and united it tothe duodenum close to the hepatic flexure. Another successful case was reported by P. Flockens (2). where atresiawas present between the middle and lower thirds of the small bowel was reduced to a fibrous cord, at the free edge of the mesentery, 68 A Case of Congenital Atresia of the Ileum which united the blind ends of the bowel. An entero-entero-anasto
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectanatomy, bookyear1867
