The Diagnosis & Treatment of Intussusception

Cover The Diagnosis & Treatment of Intussusception
The Diagnosis & Treatment of Intussusception
Charles Percy Barlee Clubbe
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Abdomen opened in middle line, intussusception (ileocaecal variety) found to be very tight. During reduc- tion peritoneum torn in several places. In the small intestine there were three or four small intussusceptions, retrograde, each about 1^ inch of gut ; these were reduced easily. The wound was then closed with silkworm-gut and horsehair.
The next day, 13.11.04, child very well. No vomiting.
Pulse good ; temperature normal.
After a slight attack of diarrhoea this child made a rapid recovery.
...
Case 124. — W. J., aged 4 months. Admitted 1.5.05.
Ill since 29.4.05. Began to cry a great deal and was restless all night. Last night she screamed a lot ; bowels naturally opened till 6 this morning. Bowels opened at 8 A.M. ; motions green with white lumps — foul. Vomited a large quantity this morning. At 10 A.M. passed blood with motion, blood quite red.
Under G. and E. large mass felt in the left iliac fossa.
An attempt was made to reduce with oil without result.
Mass delivered and reduced.


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