. Surgery, its principles and practice . Fig. 363.—Invagination Caused by a Lymph-gland (H. Lorenz). INTESTINAL OBSTRUCTION. 663 a depression in the wall of the intestine that formed the starting-pointof an intussusception. Wiggin considers that trauma may play an important role in theintussusceptions of children, even the careless manner in which childrenare lifted and carried being sometimes an etiologic factor. Suddenstrong movements of the muscles, as in coughing, and even the massageof the abdomen, may produce invagination in young children. Moresevere traumas, as falls from a height or t
. Surgery, its principles and practice . Fig. 363.—Invagination Caused by a Lymph-gland (H. Lorenz). INTESTINAL OBSTRUCTION. 663 a depression in the wall of the intestine that formed the starting-pointof an intussusception. Wiggin considers that trauma may play an important role in theintussusceptions of children, even the careless manner in which childrenare lifted and carried being sometimes an etiologic factor. Suddenstrong movements of the muscles, as in coughing, and even the massageof the abdomen, may produce invagination in young children. Moresevere traumas, as falls from a height or the violence of foot-ball playing,may start invagination. Gibson regards phimosis or narrowing of a stricture of the urethra asof importance in children, espe-cially in the etiology of intus-susception. Schmidt reports the case ofa man upon whom a resection ofthe pylorus was done, followedby gastroduodenal anastomosisby Murphys button. A fewdays after the operation thepatient, who was forty-eightyears old, suddenly was seizedwith sever
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