ng, but on September
11th he tore the cast off his abdomen, and pulled out of the wound the
omentum and 32 inches of colon, which he tore off and threw between his
pallet and the wall. Strange to say he did not die until eight days
after this horrible injury.
Tardieu relates the case of a chemist who removed a large part of the
mesentery with a knife, and yet recovered. Delmas of Montpellier
reports the history of a wagoner with complete rupture of the
intestines and rupture of the diaphragm, and who yet finished his
journey, not dying until eighteen hours after.
Successful Intestinal Resection.--In 1755 Nedham of Norfolk reported
the case of a boy of thirteen who was run over and eviscerated. It was
found necessary to remove 57 inches of the protruding bowel, but the
boy made a subsequent recovery. Koebererle of Strasburg performed an
operation on a woman of twenty-two for the relief of intestinal
obstruction. On account of numerous strictures it was found necessary
to remove over two yards of the small intestine; the patient recovered
without pain or trouble of any kind. In his dissertation on "Ruptures"
Arnaud remarks that he cut away more than seven feet of gangrenous
bowel, his patient surviving. Beehe reports recovery after the removal
of 48 inches of intestine. The case was one of strangulation of an
umbilical hernia.
Sloughing of the Intestine Following Intussusception.--Lobstein
mentions a peasant woman of about thirty who was suddenly seized with
an attack of intussusception of the bowel, and was apparently in a
moribund condition when she had a copious stool, in which she evacuated
three feet of bowel with the mesentery attached. The woman recovered,
but died five months later from a second attack of intussusception, the
ileum rupturing and peritonitis ensuing. There is a record in this
country of a woman of forty-five who discharged 44 inches of intestine,
and who survived for forty-two days. The autopsy showed the sigmoid
flexure gone, and from the caput ceci to the termination the colon only
measured 14 inches. Vater gives a history of a penetrating abdominal
wound in which a portion of the colon hung from the wound during
fourteen years, forming an artificial anus.
Among others mentioning considerable sloughing of intestine following
intussusception, and usually with complete subsequent recovery, are
Bare, 13 inches of the ileum; Blackton, nine inches; Bower, 14 inches;
Dawson, 29 inches; Sheldo
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