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Updated: June 8, 2025
There were marked signs of peritonitis, and in the absence of sufficient other symptoms, it could be said that this woman had died of peritonitis in the left thoracic cavity. Extended tolerance of foreign bodies loose in the thoracic cavity has been noticed.
The packing should be removed in about twelve hours. The infection of the wound always follows castration. If the incision is small and the operation is followed by swelling of the neighboring tissues, the clotted blood, wound secretions and pus become penned up in the scrotal sack. Local blood poisoning or peritonitis follows. This is not an uncommon complication.
When this occurs, the symptoms of pain are less evident. Death occurs from uraemic poisoning and peritonitis. The outcome is less favorable in ruminants than in solipeds. Inflammation of the sheath can be readily recognized because of the local swelling.
They had been obliged to send for the doctor at noon. The name of peritonitis did not impress the young wife with any importance when the old doctor warned her to lie still and rest. The fierce pain was eased by getting off her feet and she was so glad to rest that she took his advice, but she had had no illness and little experience with chronic ailments.
This inflammation should not be allowed to continue, as it may become serious, even extending to the peritoneum and producing peritonitis. The nerves of the uterus are very closely connected with the spinal nerves, therefore, any displacement reacts through them and may produce headache and backache, which are the common accompaniments of any uterine disorder.
Seizing a codfish that was on the head of a sugar barrel by the tail she whacked the first old gent, who held the butter tryer, over the head, and said: "Peritonitis is beginning to set in, you bald-headed old villain, and general prostration will be the result. I will teach you to put your arm around me. I am no manikin. Do you take me for a dissecting room?
Charlton gives an account of the performance carried out successfully four times in the same woman; Chisholm mentions a case in which it was twice performed. Michaelis of Kiel gives an instance in which he performed the same operation on a woman four times, with successful issues to both mother and children, despite the presence of peritonitis the last time.
The distinction drawn by this author between toxic and bacterial peritonitis is, to my mind, a distinction without a difference.
If there were complete obstruction there would be increasing nausea and vomiting, ending in collapse and death. This tympanites cannot be from peritonitis for perforation would be necessary to cause it and nothing would stop the progress after it had once started except to open the cavity wash and drain. Hence this cannot be peritonitis, for there has been no operation and the patient still lives.
Vierordt's case in connection with mine and see if his case of diffuse peritonitis is not about as near like my case as it is possible to have two cases. His patient was a merchant 31 years old, mine a farmer 42 years old. There is a difference in these two men, caused by their occupations.
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