Southern medicine and surgery [serial] . intercellularsubstance. Some areas very fell and fome pol\ morphonuclearcell infiltration throughout. A few mititicfigures seen. In the portion of the tumor exposed in the lumen of the intestine severalulcerated areas are present with consider-able exudate and some oedema. The tumorapparently arises from the muscle coat ofthe intestine. Diagnosis by Dr. F. B. Mal-lory: Leiomyosarcoma. The patient did well for four days andbegan to vomit again and it was thoughtthat the intussusception had recurred. Ac-cordingly, on Sept. 28th, five days a
Southern medicine and surgery [serial] . intercellularsubstance. Some areas very fell and fome pol\ morphonuclearcell infiltration throughout. A few mititicfigures seen. In the portion of the tumor exposed in the lumen of the intestine severalulcerated areas are present with consider-able exudate and some oedema. The tumorapparently arises from the muscle coat ofthe intestine. Diagnosis by Dr. F. B. Mal-lory: Leiomyosarcoma. The patient did well for four days andbegan to vomit again and it was thoughtthat the intussusception had recurred. Ac-cordingly, on Sept. 28th, five days after hissecond operation, he was opened up throughhis last incision under gas-ether. A lowgrade peritonitis was present with disten-tion of the bowel. A very interesting obser-vation was that the jejunum at the site ofresection was perfectly healed and the sitecould be identified only by a small raw areain the mesentery, although this was but fivedays after the resection. An enterostomywas done in the ileum and the abdomenclosed. ] i|]. Fig. 3. Case 2. Leiomyosarcoma of Je-junum. Profuse hemorrhages took place fromthe ulcers in the mucosa covering this tumor. During the following four days he wasdecidedly improved, then began to havevomiting and abdominal cramps. Patientdragged along fifteen days with obstructivesymptoms persisting. The abdomen wasopened again as a last resort. Severallocalized abscesses were found in betweenthe loops of jejunum in the upper left abdo-men and such dense adhesions as to causeobstruction in the area originally was shortcircuited with Murphy buttonconnecting loops of jejunum above and be-low the obstruction. He showed no im-provement following this procedure and diedtwo days later of peritonitis with obstruc-tion. To summarize the case, he had four oper-ations and nine transfusions while undeitreatment. His operations were: gastro- -in SOUTHERN MEDICINE AND SURGERY February, 1924. tomy and separation adhesions pylorus togall bladder;
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
