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Updated: May 19, 2025
It is possible, however, that the cyst may originate from a minute portion of synovial membrane being protruded and strangulated so that it becomes disconnected from that to which it originally belonged; it may then degenerate and give rise to colloid material, which accumulates and forms a cyst.
There was no hint of softening in him. Without another word he swung round on his heel and turned to leave her. "Michael . . . don't go!" The lovely voice was a mere thread of sound hoarse and strangulated. "Don't go! . . . Oh, be a little merciful!" She laid an imploring hand on his arm, and at the touch of her his iron composure shook a little.
He examined Angelo's wound, and was really minded to say nothing for once; but Aunt Patsy was so anxious and so pressing that he allowed his caution to be overcome, and proceeded to empty himself as follows, with scientific relish: "Without going too much into detail, madam for you would probably not understand it, anyway I concede that great care is going to be necessary here; otherwise exudation of the esophagus is nearly sure to ensue, and this will be followed by ossification and extradition of the maxillaris superioris, which must decompose the granular surfaces of the great infusorial ganglionic system, thus obstructing the action of the posterior varioloid arteries, and precipitating compound strangulated sorosis of the valvular tissues, and ending unavoidably in the dispersion and combustion of the marsupial fluxes and the consequent embrocation of the bicuspid populo redax referendum rotulorum."
The court then went more deeply into the medico-legal evidence. It were tedious to follow the course of this long argument. After a lengthy dissertation on the progress of an acute indigestion and the effects of a strangulated hernia M. Devergie said that, as the poison existed in the body, from the symptoms shown in the illness it could be assumed that death had resulted from arsenic.
But if we can go back to that starting point, if we can discover those first suppressions of desired gratifications which often most indirectly are related to the sexual sphere, and if we can liberate the mind from those primary strangulated affections, then the patient is really cured.
In 1787 Bell gave an account of a case in which a large portion of the lung protruded and was strangulated by the edges of the thoracic wound, yet the patient made a good recovery.
Hough mentions an instance in which, from the great pain and sudden appearance, a small tumor lying against the right pubic bone was supposed to be a strangulated hernia. There were two well-developed testicles in the scrotum, and the hernia proved to be a third.
Thus I have had a case of strangulated inguinal hernia in which it was necessary to take away half a pound of thickened omentum, heal without any deep-seated suppuration or any tenderness of the sac or any fever; and amputations, including one immediately below the knee, have remained absolutely free from constitutional symptoms.
He mentions inherited defective eyesight and hearing also, and the "neurotic" quality, with which I have dealt in my text. He adds two other suggestions that appeal to me very strongly. He proposes to bar all "cases of non-accidental disease in which life is saved by the surgeon's knife," and he instances particularly, strangulated hernia and ovarian cyst.
Many towns, among them Mobile and Memphis, surrendered their charters and were ruled directly by the governor; and there were numerous "strangulated" counties which on account of debt had lost self-government and were ruled by appointees of the governor.
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