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Many children have a similar deposition of chyle in their urine, from the irritation of worms in their intestines, which stimulating the mouths of the lacteals into unnatural action, the urinary branch of the absorbents becomes inverted, and carries part of the chyle to the bladder: part of the chyle also has been carried to the iliac and lumbar glands, of which instances are recorded by Haller, t. vii. 225. and which can be explained on no other theory: but the dissections of the lymphatic system of the human body, which have yet been published, are not sufficiently extensive for our purpose; yet if we may reason from comparative anatomy, this translation of chyle to the bladder is much illustrated by the account given of this system of vessels in a turtle, by Mr.
This method is suitable to sacculated aneurysm of the limbs, so long as they are circumscribed and free from complications. It has been successfully practised also in aneurysm of the subclavian, carotid, and external iliac arteries. It is not applicable to cases in which there is such a degree of atheroma as would interfere with the successful ligation of the artery.
Children troubled with constipation will sometimes be taken with fever and pain in the right iliac fossa and, on examination, a fullness will be found; the sensitiveness will not be so great but that an examination can be made and a sausage shaped tumor may be outlined; of course, the disease will be named appendicitis and this is enough to scare a whole neighborhood, and the child will be carted off to a hospital and operated upon for appendicitis.
As judged by lesions of the aorta and iliac arteries in dissecting subjects, the conclusion that arteritis and resultant disorders are of rather frequent occurrence, is logical. Etiology. Inflammation of the vessel walls and resultant prolifieration of tissue together with the accumulation of clotted blood becoming organized, serve to obstruct the lumen of the affected artery.
In the lower extremity, the femoral is controlled by pressing in a direction backward and slightly upward against the brim of the pelvis, midway between the symphysis pubis and the anterior superior iliac spine.
Heath had a case of injury to the external iliac artery from external violence, with subsequent obliteration of the vessel. When the patient was discharged no pulse could be found in the leg. Dismukes reports a case in which the patient had received 13 wounds, completely severing the subclavian artery, and, without any medical or surgical aid, survived the injury two hours.
For my own interest, I often meditate what a kind of life theirs was, and if, without this faculty, I should have enough left to support me with any manner of ease; and prying narrowly into it, I fear that this privation, if absolute, destroys all the other functions of the soul: "Plenus rimarum sum, hac atque iliac perfluo."
Occlusion of the inferior vena cava as a result of infective thrombosis is a well-known condition, the thrombosis extending into the main trunk from some of its tributaries, either from the femoral or iliac veins below or from the hepatic veins above. Portions of the softened thrombus are liable to become detached and to enter the circulating blood, in which they are carried as emboli.
And when the intestinal absorbents act too violently, as when too great quantities of fluid have been drank, the urinary absorbents invert their motions to carry off the superfluity, which is a new circumstance of association, and a temporary diabetes supervenes. I have had the opportunity of seeing four patients in the iliac passion, where the ejected material smelled and looked like excrement.
A few months after his return he went to Dover, to have an interview with the Earl of Flanders; where, after a short sickness, he died of the iliac passion, together with his old distemper the hemorrhoids, upon the twenty-fifth day of October, in the forty-ninth year of his age, and the nineteenth of his reign.
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