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p. Fistula from an abscess being allowed to pursue its own course,
q. Fistula in ano; several external openings and extensive sinuses,
PAGE
. 216
216
c. Stricture from fibrous deposit external to the walls of the rectum,.
d. Supposed stricture, continued use of the bougie; no contraction
discovered after death,
e. Stricture from congenital malformation,
222
222.
229
233
a. Medullary sarcoma occurring in a boy; death from peritonitis,
b. Cancer of rectum implicating the vagina,
c. Cancer of rectum; fatal termination by rupture of bowel,
d. Fungoid disease of the rectum; general health unaffected for some
time, .
238
e. Carcinoma of the rectum; large doses of opiates required to pro-
cure ease from pain,
239
CHAPTER XVII.
INJURIES OF THE RECTUM.
Causes of injury, .
Symptoms of laceration consequent on defecation,
Laceration during parturition,
Treatment,
CASES:-
a. Rectum of a child wounded in the operation of lithotomy,
b. Laceration of the rectum from constipation, .
243
244
245
c. Longitudinal laceration of the rectum and margin of the anus,
d. Transverse laceration of the mucous membrane of the rectum,
e. Laceration of the recto-vaginal septum, and passage of the child
per anum,
f. Laceration of rectum and part of the perineum during parturition, 245
g. Laceration of rectum from the kick of a cow,
h. Perforation of rectum by the end of an umbrella, .
i. Perforation of rectum and bladder by leg of a chair,
k. Perforation of rectum and peritoneum by an enema pipe,
1. Perforation of rectum and vagina by a clyster pipe,
m. A catheter thrust through the urethra into the rectum,
CHAPTER XVIII.
FOREIGN BODIES IN THE RECTUM.
b. Portion of bone that had been swallowed arrested at the anus,
c. A fish-bone that had been swallowed arrested at the rectum; remo-
val,
d. A concretion of iron and magnesia fifteen inches in diameter, re-
moved from the rectum of a lady,
e. Three large concretions, each containing a plum-stone for a nucleus, 251
f. A bottle of Hungary wine thrust into the rectum, . 252
7. A shuttle and its yarn thrust up the rectum to obviate costiveness, 253
m. A bone arrested in the oesophagus, pushed into the stomach, and
n. A mutton-bone removed from the rectum which had been swallowed
o. Jaw-bone of a turbot in the rectum,
p. Jaw-bone of a fish lodged in the rectum,
253
q. A forked stick thrust into the rectum to overcome costiveness,
r. A two-pronged stick introduced into the rectum; removed two
months afterwards from abscesses over the gluteus muscle, .
254
s. Pig's tail thrust into the rectum of a female,
t. A blacking-pot forced into the rectum by a fall; extraction; death
from subsequent inflammation,•
u. A cane, nine inches in length, thrust into the bowel,
255
x. Stick penetrating the sigmoid flexure of the colon; not discovered
y. A large plug of wood introduced into the bowel for the purpose of
stopping a diarrhœa,
2. A quantity of gray peas filling the rectum and producing death,
aa. Half a jaw-bone of a rabbit removed from the rectum by Mr. Liston,
bb. The neck of a wine-bottle extracted from the rectum,
cc. A bougie, nine inches in length and an inch in diameter removed
from the rectum,.
257
e. Imperforate rectum; operation; subsequent contraction of opening, 262
f. Imperforate rectum; operation; contraction of opening,
g. Imperforate rectum; operation repeated three times,
h. Imperforate rectum; operation not performed till the eleventh day,
i. Imperforate rectum; discovered second day after birth; operation;
death,
j. Intestinal canal opening under scapula,
k. Absence of the rectum; and the intestinal canal opening on the
face,.
7. Imperforate rectum and anus; the rectum reaching to half an inch
of the external surface,
m. Partial absence, imperforation, and malposition of the rectum,
n. Imperforation and partial absence of rectum; operation performed
three times,
o. Imperforate rectum; an incision more than two inches in depth
necessary before the intestine was opened, .
262
263
264
266
p. Imperforate rectum; death of the child on the ninth day, the bowel
not having been opened,
q. Imperforate rectum, operated on ten times before the child was eight
months old,
270
r. Imperforate rectum; Dr. Baillie,
s. Two cases operated on by Mr. C. Hutchinson, the intestine not
opened in either,
v. Imperforate anus and absence of a portion of the rectum,
272
w. Two cases recorded by Mr. Smith,.
x. Imperforate rectum, the intestine reached by incision two inches
deep,
y. Child with imperforate bowel, no opening made; lived five weeks,
z. Imperforate anus and partial absence of rectum,
aa. Ten cases recorded by Dr. Parker, of New York, .
bb. The fæces voided per urethram in a woman,
cc. The rectum opening in the urethra anterior to the prostate; the
child lived eight months,
dd. A boy, four years and a half old, with the rectum opening into the
urethra,
275
ee. Imperforate rectum; a communication with the urethra by a val-
vular opening,
ff. Imperforate rectum; Mr. Fergusson's case,
99. Ascites in a foetus, with malformation of rectum and other viscera, 276
hh. Imperforate rectum and anus; bowel opening into bladder,
ii. Mr. Lizars' case of imperforate rectum and anus,
kk. Rectum communicating with bladder by a narrow canal, a quarter
pp. Rectum communicating with vagina; operation performed three
mm. A child passing its fæces per urethram; lived in that condition for
nearly nine months,
nn. Dr. Chever's case of rectum opening into the urethra or neck of
bladder,
do. Imperforate anus; rectum opening into the vagina,
times,
qq. Mr. Copland Hutchinson's case of rectum communicating with
vagina,
277
278
280
rr. Contracted anus; a communication between the rectum and