. Diseases of the rectum and anus: designed for students and practitioners of medicine. f anartificial anus and cannot perform its function have beenproven to be erroneous. The author some years ago performedleft inguinal colostomy on a young woman suffering from ex-tensive ulceration which refused to heal under less radicaltreatment. In this instance the feces were discharged throughthe opening in the groin for more than three years, when it NON-:\IALIGNANT ULCERATION AND ESTHIOMENE 339 was closed; from that time on the feces were dischargedthrough the rectum, the function of which was in no
. Diseases of the rectum and anus: designed for students and practitioners of medicine. f anartificial anus and cannot perform its function have beenproven to be erroneous. The author some years ago performedleft inguinal colostomy on a young woman suffering from ex-tensive ulceration which refused to heal under less radicaltreatment. In this instance the feces were discharged throughthe opening in the groin for more than three years, when it NON-:\IALIGNANT ULCERATION AND ESTHIOMENE 339 was closed; from that time on the feces were dischargedthrough the rectum, the function of which was in no way im-paired. The author has in several cases succeeded in curingulceration by the establishment of such an artificial anus, whichremoves the irritation of the feces and allows the ulcers to bekept clean and treated by direct applications and irrigationsboth from above and below. The technic of this operation isfully described in the chapter on colostomy. ESTHIOMENE Esthiomene^ (lupus exedens) is a rare disease character-ized by extensive superficial ulcerations, involving the ano-. Fig. 106—Esthiomene, Vegetating Variety (Ano-vulvar Region). vulvar region, accompanied by hypertrophy and marked de-formity of these parts (see Dr. Allens case, Fig. 106). ETIOLOGY AND PATHOLOGY Ouenu and Hartmann, who have made the most exhaust-ive investigations of ano-rectal tuberculosis, hold that primarylupus may rarely occur in this region, and that the so-calledano-vulvar esthiomene is the lupoid ulcers of AlHngham. Theyknow of but two cases of lupus limited to the anus, both ofwhich had their origin at the orifice of a fistula. Huguier, in1848, under the title Esthiomene of the Vulvo-anal Region,reported nine cases of deformity of this region due to extensiveulcerations. Since that time other cases have been reported ^ia-diofxevT], eating. 340 DISEASES OF THE RECTUM AND ANUS under the same title, but later investigators, especially Peck-ham,^ have shown that the ulceration causing the de
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
