Case of communication with the stomach, through the abdominal parieties, produced by ulceration from external pressure : with observations on the cases of gasto-cutaneous fistulæ already recorded / by Charles Murchison.

  • Murchison, Charles, 1830-1879
Date:
1858
Catalogue details

Licence: Public Domain Mark

Credit: Case of communication with the stomach, through the abdominal parieties, produced by ulceration from external pressure : with observations on the cases of gasto-cutaneous fistulæ already recorded / by Charles Murchison. Source: Wellcome Collection.

    22/44 (page 20)
    CASES OF GASTRO-CUTANEOUS FISTULA^ No. of Case. Date of occur¬ rence of Fistula. XVII. XVIII. July 1, 1828. Patient’s Name and Residence. M. A. W., a widow, Worcester Infirmary. Age. 39 June, 1832, and Janv., 1835. Madame G. 77 and 80 XIX. Sept. 3, 1832. XX. 1833. Mary O’Neill, Meath Hospi¬ tal, Dublin. A Widow, U. States. 50 39 i Cause. Simple ulcer, pro¬ ducing abscess, adhesions, and external opening. Characters, Situation, &c., of External Opening. Between seventh and eighth ribs, below right mam- Size of External Opening. Situation of Opening in Stomach, and other morbid appearances o that organ. ma. Lower mar¬ gin of seventh rib, and upper of eighth, carious. “A slit” 1 inch in length. Simple ulcer of In a transverse stomach. Symp¬ toms for thirty years. At age of 77, an opening over stomach, from which “clear water ” escaped for three days, and which then closed. At age of 80, this re¬ opened, discharg¬ ing water and food. Cancer of pyloric end of stomach. furrow of the skin in left hvpochon drium, two inches below margin of ribs. Margins of opening red. Sur¬ rounding integu¬ ments drawn in like a funnel. “ Size of a pea.” “ 4 or 5 lines in diameter.” Immediate! beyond pylorus, at very com¬ mencement duodenum, two and a hsfl inches frorr ] external opening. To left licus. of umbi- Simple ulcer of stomach. Opening at side of umbilicus. Sur¬ rounding skin red, excoriated,) and tender. Size of a large pea. A gum bougee passed readily. Admitted a musket bullet. In middle oil anterior surface a rounded opening, onl and a half ! inch in di.s meter, formiil large end of funnel, of. which smal at external! opening. Thickening1 pylorus. Opening supposed to near pyloril (from probirjj