Report of clinical cases treated during the session 1859-60 in the surgical wards of the Royal Infirmary under the care of James Spence.

Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: Report of clinical cases treated during the session 1859-60 in the surgical wards of the Royal Infirmary under the care of James Spence. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Fistula in Perineo. John T s, aet. 40. Fistula in perineo. Incision ; and after- wards introduction of heated wire. Cured. Fungous Testicle. James D s, aet. 38. Syphilitic fungous testicle. Poultices to remove sloughs ; afterwards closed in by paring edges of scrotal sore, and securing them by silver suture. Cured. John M d, aet. 24. Enormous syphilitic fungoid testicle; treated as above. After bleeding; extensive phlegmonous erysipe- las attacked the side and back, and he died on the fourth day after the operation. Varicocele. James F y, aet. 26. Varicocele. A large elliptical portion of scrotum, which was very loose and pendulous, was removed, and a natural suspensary thus formed. Vesical Calculus. David K d, aet. 49. Calculus in bladder. Removed by lateral operation. Cured. James C d, aet. 12. A stone of considerable size was success- fully removed from the bladder. Rupture of the Bladder. James C e, aet. 25. On the 26th May 1860, at 5 a.m., patient fell out of a cart, and, being slightly intoxicated at the time, did not immediately thereafter perceive any unusual sensations. About 7 a.m. he walked into'the Surgical Hospital, complaining of pain at the lower part of thorax on both sides, and inability to mic- turate. No fracture could be detected; and as he objected to the catheter being passed, he was forthwith dismissed. At 44 p.m., patient returned with increased desire to make water, great pain over hypogastric region, and tenderness over the abdomen gene- rally. No vesical protuberance could be detected; dulness only reached three inches above pubes, but extended across both iliac regions. No. 10 catheter was introduced, and about §vi. of bloody urine and clots came away. Vespere, 8^. Patient suffered great abdominal pain, with constant desire to micturate. Pelvic dulness slightly increased, glxxx. of bloody urine drawn off by catheter, which seemed to pass through the coats of the bladder. From this period an instrument was passed every six hours; but already the general and local symptoms of peritonitis manifested themselves, and, gradually becoming more intense, the patient sank at 5 A.M. on the 29th, exactly 72 hours after the occurrence of the accident. A sectio was not permitted by his friends.