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When questioned at such times as to her delusion, she would admit its absurdity, but refer to an uneasy sensation in the region of the left hypochondrium, which, as she put it, surely meant that there was something wrong there.
Deckers tells of a gentleman who was wounded in the right hypochondrium, the ball being taken thirty years afterward from the knee. Borellus gives an account of a thorn entering the digit and passing out of the body by the anus. Strange as it may seem, a prick of a pin not entering a vital center or organ has been the indirect cause of death.
Dupuytren gives an example in a boy of thirteen, in whom was found a fetus. Gaetano-Nocito, cited by Philipeaux, has the history of a taken with a great pain in the right hypochondrium, and from which issued subsequently fetal bones and a mass of macerated embryo.
Gilbert says: "The escape of blood in the urine is due sometimes to the liver, sometimes to the bile, sometimes to the kidneys and loins, sometimes to the bladder. If the blood is pure and clear, in large quantity, mixed perfectly with the urine and accompanied by pain in the right hypochondrium, it comes from the liver. Such urine presents scarcely any sediment.
Allen mentions recovery after an extensive incised wound of the abdomen, liver, and lung. Massie cites an instance of gunshot wound of the right hypochondrium, with penetration and protrusion of the liver. The patient, a boy of seven, recovered after excision of a small part of the protruding liver.
Ascites. A young lady of delicate constitution having been exposed to great fear, cold, and fatigue, by the overturn of a chaise in the night, began with pain and tumour in the right hypochondrium: in a few months a fluctuation was felt throughout the whole abdomen, more distinctly perceptible indeed about the region of the stomach; since the integuments of the lower part of the abdomen generally become thickened in this disease by a degree of anasarca.
Here the sensations in the left hypochondrium which she had described as "grippings at the heart," became the object which, under the influence of the initial shock with its unusual and alarming sensations and feelings, she interpreted as she did. Stanley Hall on Fear The American Journal of Psychology, April 1914. Psychological Review, Vol. I, page 562.
The hypochondrium is supposed to be affected, and as it is located under the "short ribs," the hypochondriac continuously suffers from that awful "sinking at the pit of the stomach" that makes him feel as if the bottom had dropped out of life itself. He can neither eat, digest his food, walk, sit, rest, work, take pleasure, exercise, or sleep. His body is the victim of innumerable ills.
"Yes, because, most likely, my flati, instead of influencing the hypochondrium, affects my spleen, which my physician asserts to be the organ of laughter. It is quite a discovery." "You are mistaken; it is a very ancient notion, and it is the only function which is ascribed to the spleen in our animal organization."
It had during its continuance brought on breathlessness on exertion, and what she called spasms or "grippings at the heart," no doubt the basis of her uneasy feelings in left hypochondrium. There was a slight enlargement of the thyroid gland, but no symptoms referable to it.
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