A treatise on the practice of medicine, for the use of students and practitioners . struction or occlusion of the intestines is meantan arrest of the passage of their contents, by obstacles within the bowel,or in its walls, or in the cavity of the peritoneum. When the obstruc-tion occurs in the intestine after it has passed out of the cavity—asstrangulated hernia, for example—it becomes a surgical malady. Agreat many names have been applied to this state : ileus, iliac passion,volvulus, miserere, etc. Causes.—Obstruction or occlusion of the intestines may be pro-duced by causes that are intrin


A treatise on the practice of medicine, for the use of students and practitioners . struction or occlusion of the intestines is meantan arrest of the passage of their contents, by obstacles within the bowel,or in its walls, or in the cavity of the peritoneum. When the obstruc-tion occurs in the intestine after it has passed out of the cavity—asstrangulated hernia, for example—it becomes a surgical malady. Agreat many names have been applied to this state : ileus, iliac passion,volvulus, miserere, etc. Causes.—Obstruction or occlusion of the intestines may be pro-duced by causes that are intrinsic, or extrinsic, but they are best con-sidered in three great divisions : 1. Extrinsic, or entirely outside of the OBSTRUCTION OF THE INTESTINES. 109 bowel ; 2. Conditions affecting the walls of the intestines ; 3. Dis-orders within the canal. 1. The extrinsic causes are tumors without, compressing the intes-tine ; certain orifices in the peritoneum, as the foramen of Winslow ;bands of connective tissue, remains of former inflammation ; twisting,or torsion, of the ^J Fig. 1.—The above, from ZiemssenB Cyclopaedia,illustrates the mode in which torsion, or twistingis


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188