GENERAL

HOSPITAL, KURRACHEE.

A CASE OF STRANGULATED INGUINAL HERNIA.

By Surgeon C. MacRury, F.R.C.S.E.,

3rd Sind Ilorse.

The following case is recorded to show the apparent injury that the human intestine, owing to its great vitality, may sustain without permanently impairing its functions. Strangulation had existed' for six days and from the contused state of the surrounding parts as well as the sanguineous nature of the contents of the tumour, it would bo impossible to estimate the amount of pressure to which the bowel was subjected by persevering attempts at reduction before admission into

Hospital. Samjee Cowerjee, 47 years of age, was admitted into the General Hospital, Kurrachte, on the 2Gth December 1869, suffering from a strangulated inguinal hernia of the right side, of six days' duration. Tiie man stated that the bowel descended on the

20th December without any unusual exertion on his part and that taxis was tried under chloroform by Sub-Assistant Surgeon Lookmanjee, in charge of the Kurracliee Dispensary, who prescribed for and attended him at his own house. The tumour was about the size of a pear, tense and pulse quick, tongue furred and dry, with pinched and anxious countenance; he was also much troubled with hiccough anil stercoraceous vomiting. Taxis was tried by Surgeon-Major Style and'myself, tho patient being under the influence of chloroform, but without success or any perceptible effect on the size of tho tumour, so with Dr. Style's advice and assistance I immediately cut down npon and relieved the constricted portion of intestine, the seat of stricture being within the sac. The gut was much congested and deeply grooved, as " tightly tied with a ligature at the seat of stricture. Having sponged it carefully with warm water it was allowed to drop 11 into the abdomen and the wound was brought together by few stitches and strips of adhesive plaster and dressed wit"

painful,

carbolised oil.

August 1,

1874.J

A MIRROR OF HOSPITAL PRACTICE.

27th Decembtr.?Suffers from distressing hiccough and vomitand complains of pain in the abdomen on pressure. These symptoms were relieved by the use of ice and opium, and

ing,

gradually disappeared.

The wound healed by first intention, and the patient was discharged cured on the 13th January 1870. Some slight swelling and tenderness of the corresponding side of the scrotum and induration of the spermatic canal

remaired, for which he

was recommended to wear a suspensory well fitting truss. The man had had rupture for twelve years, and was in the habit of wearing a rude but ingenious truss of native manufacture. Kurrachee, July 1874.

bandage

and

a

211

A Case of Strangulated Inguinal Hernia.

A Case of Strangulated Inguinal Hernia. - PDF Download Free
5MB Sizes 0 Downloads 8 Views