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Updated: June 15, 2025
But when, seven years later, his wife died leaving him this one child, the desire, so strong in the nobles of that time, to perpetuate their name, urged him to renew his request to my mother. What her answer was I do not know; she fell ill and died. The country doctors again brought in a verdict of iliac passion. My grandfather had spent the last two days she passed in this world with her.
Sclerostomiasis with attendant arteritis, thrombus formation and subsequent lodgement of emboli in the iliac, femoral, or other arteries, causes sufficient obstruction to prevent free circulation of blood, and the characteristic lameness of thrombosis results. Indirect injury to vessels may occur because of contused wounds and subsequent inflammation of tissues supplied by such vessels.
My weak lungs, combined with the exciting episodes of the voyage, have shaken my nervous system so much that the most trivial incident affects me. I can hardly believe that I am the same man who tied the external iliac artery, an operation requiring the nicest precision, under a heavy rifle fire at Antietam. I am as nervous as a child.
The stomach and intestinal canal have a constant vermicular motion, which carries forwards their contents, after the lacteals have drank up the chyle from them; and which is excited into action by the stimulus of the aliment we swallow, but which becomes occasionally inverted or retrograde, as in vomiting, and in the iliac passion.
Later, the glands in the groin become enlarged, and it is probable that the infection has spread from the neck along the mediastinal, bronchial, retro-peritoneal, and mesenteric glands, and has branched off to the iliac and inguinal groups.
Devergie quotes an instance of a woman of thirty who had several children, but who died suddenly, and being pregnant was opened. In the right iliac fossa was found a male child weighing 5 pounds and 5 ounces, 8 1/2 inches long, and of about five months' growth. The uterus also contained a male fetus of about three months' gestation.
The iliac passion, passio iliaca of the old Latin, is usually taken to signify some obstruction of the intestines causing severe pain, vomiting, and eventually fecal vomiting.
The titles of certain of the chapters are interesting, as illustrating the fact that our medical and surgical problems were stated clearly in the olden time, and thinking physicians, even six centuries ago, met them quite rationally. There is, for instance, a chapter headed "Against Colic and the Iliac Passion," immediately followed by the subheading, "Method of Administering Clysters."
A heavy-handed attendant should never be allowed to manipulate swellings in the right iliac fossa, nor in any other suspected region, for fear of destroying nature's defenses, and possibly rupturing an abscess, the contents of which will be emptied into the peritoneal cavity, causing peritonitis and death.
Aneurysms of the vessels of the #forearm and hand# call for no special mention; they are almost invariably traumatic, and are treated by excision of the sac. Aneurysms appearing in the region of Poupart's ligament may have their origin in the external or common iliac arteries or in the upper part of the femoral.
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