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Updated: May 8, 2025
Intestinal fistulæ are sometimes met with in the abdominal wall after strangulated hernia, operations for appendicitis, tuberculous peritonitis, and other conditions. In the perineum, fistulæ frequently complicate stricture of the urethra. The treatment of these various forms of fistula will be described in the sections dealing with the regions in which they occur.
Fatal peritonitis ensued and the spoon was found impacted in the last acute turn of the duodenum. In 1895, in London, there was exhibited a specimen, including the end of the ileum with the adjacent end of the colon, showing a dessert spoon which was impacted in the latter. The spoon was seven inches long, and its bowl measured 1 1/2 inches across. There was much ulceration of the mucous membrane.
He grabbed the ether and slapped a cone over her nose. She tried to protest; she never cooperated in anything. But the fumes of the ether he dipped onto the packing of the cone soon overcame that. It was peritonitis, of course. The only thing to do was to go in and scrape and clean as best he could. It was a rotten job to have to do, and he should have had help. But he gritted his teeth and began.
The mother died from peritonitis and collapse, but the stillborn child was resuscitated. Roberts reports a case of pregnancy associated with a large fibrocellular polypus of the uterus. A living child was delivered at the seventh month, ecrasement was performed, and the mother recovered. Von Quast speaks of a fibromyoma removed five days after labor.
"Appendicitis," of which we hear so much nowadays, is no new disease; it is simply the "peritonitis" that killed so many people in former times.
"Now, if they cannot extract the ball the great danger is from peritonitis " At this point the woman observed what was going on, and she was about as mad as a woman can be.
"It won't do any good to mislead you. The little fellow has a weak heart, as I explained the last time he was ill, and it seems worse now. Then then, I am sorry to say that I detect strong symptoms of peritonitis. If I could have seen him a week ago I presume the fact of your wife being away, and you being busy at the bank " Mostyn's head rocked like a stone balanced on a pivot. "Yes," he said.
The symptoms described by Dr. Deaver are those of collapse, following perforation, diffuse peritonitis to be followed soon by death, or of narcotism morphine paralysis, soon to be described in extenso when we come to treatment.
If this man had been subjected to daily examinations food and drugs, would he have presented the same symptoms! Indeed the tympanites alone would have killed him. Was his case diffuse peritonitis? No!
"Intense pain, rigors, hurried respiration and pulse up to a hundred and twenty. It looks like a case of puerperal peritonitis." Dr. Hillhouse started from the table; the trouble on his face grew deeper. "You had better see her with as little delay as possible," said Dr. Angier. "Did you make any new prescription?" "No." Dr. Hillhouse shut his lips tightly and knit his brows.
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