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Updated: June 18, 2025
The worm being extracted, the urine flowed, and the dog soon recovered. This is a too frequent consequence of piles. It is often the result of the stagnation of hardened faeces in the rectum, which produces inflammation and ulceration, and frequently leaves a fistulous opening.
"To conclude this portion of our investigation therefore," cried Barbican, clearing his throat, and occupying Aldan's right ear, "the Moon's surface is a honey combed, perforated, punctured " "A fistulous, a rugose, salebrous, " cut in the Captain, close on the left. "And highly cribriform superficies " cried Barbican. "A sieve, a riddle, a colander " shouted the Captain.
Gastrostomy is an operation for establishing a fistulous opening in the stomach through the anterior wall. Many operations have been devised, but the results of this maneuver in malignant disease have not thus far been very satisfactory. It is quite possible that, being an operation of a serious nature, it is never performed early enough, the patient being fatally weakened by inanition.
It may feel abnormally warm and doughy, and it may be painful. Later, the enlargement may be well defined and hard. Sometimes the skin is indurated and lies in folds, or the shoe-boil shows abrasions on its surface and fistulous openings leading from abscess centres. The cystic or soft tumor is a common form.
The opening subsequently healed; and not until thirteen years later did the pain and swelling return. On admission to the hospital in October, 1888, two fistulous openings were seen in the epigastric region, and the foreign body was located by probing. Finally, on November 19, 1888, the patient was anesthetized, one of the openings enlarged, and the brush extracted.
A variable degree of lameness is manifested in different cases. Treatment. Two general plans of handling this disease are in vogue. One, the more popular method, consists in the injection of caustic solutions of various kinds into the fistulous openings with the object of causing sloughing of necrotic tissue and the stimulation of healthy granulation of such wounds.
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