Tetany, and foreign bodies in the stomach : tetany caused by a mass in the stomach, composed of forty metallic articles, weighing one pound, gastrotomy, cured / by James P. Warbasse.

  • Warbasse, James Peter, 1866-1957.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Tetany, and foreign bodies in the stomach : tetany caused by a mass in the stomach, composed of forty metallic articles, weighing one pound, gastrotomy, cured / by James P. Warbasse. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Cunningham, in an admirable paper on this subject in the Annals of Surgery, April, 1904, to which the reader is re- ferred for literary references, records the seven cases which have been treated surgically, and adds to these an eighth case from his own observation. Three of these cases were reported by Mayo Robson, two by Fleiner of Heidelberg, one by Gum- precht, and one by Caird. Robson’s cases were due to cicatri- cial stenosis of the pylorus, and were treated by pyloroplasty, the third case requiring a subsequent gastro-enterostomy. All were cured. The first of Fleiner’s cases was due to sarcoma of the pylorus, and died after gastro-enterostomy. Fleiner’s sec- ond case was due to inflammatory stenosis of the pylorus, and was treated by pyloroplasty. This case died ten days later. Gumprecht’s case was one of cicatricial stenosis of the pylorus. It was treated by resection of the pylorus, and died of general peritonitis. Caird’s case, reported by Dickson, was one of inflammatory stenosis, and was cured by gastrojejunostomy. The case reported by Cunningham, and operated upon by Wat- son in the Boston City Hospital, was one of cicatricial stenosis, and was cured by gastro-enterostomy. The following case, which I operated upon in the German Hospital in Brooklyn, is of importance because the gastric tetany was caused by foreign bodies in the stomach, and was not associated with obstructive disease of the pylorus or ob- structive dilatation in the ordinary sense of the term,—two conditions which had heretofore been regarded as concomitants of gastric tetany. The case is also of interest because of the number and character of the foreign bodies, and the informa- tion which it contributes to the physiology of the stomach. J. F., male, twenty-three years old, German, married, tailor, entered the German Hospital, May i, 1904. Healthy, well-devel- oped man. No venereal history. No previous illnesses or family history of epilepsy. Drinks beer moderately. Married four years. Wife has one child two years old. Appetite always good. No eye symptoms. In 1897 he began giving exhibitions swallowing metallic objects, such as nails, pins, and other small articles. He did not