. Annals of surgery . n was severe abdominal pain anddistention unrelieved by cathartics or enemata. He was found to have alarge fecal impaction, which was removed, and under medical treatmenthis symptoms were relieved and he was discharged eighteen daysafter admission. At this time a bismuth injection showed a greatly dilated and redund-ant sigmoid colon ancl rectum. He remained well for about one month,when the symptoms recurred, again yielding to medical treatment carriedout at home. From this time until one year ago he suffered at year ago he was readmitted to the medical ser
. Annals of surgery . n was severe abdominal pain anddistention unrelieved by cathartics or enemata. He was found to have alarge fecal impaction, which was removed, and under medical treatmenthis symptoms were relieved and he was discharged eighteen daysafter admission. At this time a bismuth injection showed a greatly dilated and redund-ant sigmoid colon ancl rectum. He remained well for about one month,when the symptoms recurred, again yielding to medical treatment carriedout at home. From this time until one year ago he suffered at year ago he was readmitted to the medical service at St. Lukes ina condition similar to that on his previous admission, and he was eventu-ally referred to Surgical Division A and assigned to Doctor Boilingfor treatment. 681 NEW YORK SURGICAL SOCIETY At tliis time a hisimith injection cdnlirnied the previuus findings withpossihly a greater (hlatatitm i)f the sigmoid colon ( Fig. 2 ). In July. 1922,he was operated on. Two feet of the large intestine, inckuling the. -Megacolon. Bismuth injection befo sigmoid, were resected, the descending colon heing nnited to the recto-sigmoid liy means of a lateral anastomosis. At operation the sigmoidcolon and rectum were found to be greatly dilated and the walls diick-ened. The remainder of the intestine ajipeared somewhat dilated butrelatively normal. After conqieting the anastomosis a tube was carriedfrom the anus through the stoma into tlie splenic flexure. (>83 PARTIAL COLECTOMY FOR MEGACOLON The post-operative course was uneventful and the wound healed byprimary union, the small rubber dam drain being carried out through astab wound. The boy was discharged from the hospital nineteen days
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
