Reports of Medical Societies

1858 Boston Medical and Surgical Journal  
A boy, eight years of ago, had been complaining for several day« of Avhat his parents considered to be dysentery. There were frej qucnt discharges of a watery fluid, tinged Avith red, of a most offensive smell, and attended -with great Buffering. Not obtaining relief from such remedies as Avere at hand, and the mother noticing that some unusual substance occasionally passed, I Avas sent for in tho night. I found a solid mass impacted in the rectum, as high up as the tip of the finger could
more » ... . The patient Avas making strong efforts to relieve himself, which only increased tho distension, and to such a degree that tho sphincter remained open, enabling mc, by the aid of a candle, to seo the obstruction. Tho parts were so much irritated that tho slightest touch produced excruciating suffering. By gentle manipulation, hoAvevor, portions of the substance Avero sloAvly picked aAvay, there being, at the same time, a slight movement doAvnward through the involuntary efforts of the patient, as the bulk diminished. I removed, I think, a teacupful of Avhat proved to bo pitch pine chips, angular, and Avith sharp edges, of tho size of a pea, made by a large circular saw at a neighboring mill. Having removed all that could be reached, an injection Avas given, folloAVcd by a dose of oil, after Avhich I left the patient, as the urgent symptoms had subsided. When the laxatives operated, large quantities of the same substance passed away, in several successive movements of the bowels. The father estimated the amount to bo a quart, but this must of course be an exaggeration. After the character of the mass was ascertained, it was recollected that the child had had, for a long time, a craving for this particular article of diet, and had eaten large quantities of it. No evils results followed, and he Avas Avcll in a í'cav days. July 26th.-Abdominal Tumors. Case reported by Dr. G. II. Gay. Mrs. R., ait. 46, had generally enjoyed good health till three years ago, when she felt at times a lump in the left ovarian region, more or less movable, and attended with a dull aching sensation rather than a sharp pain. It seemed to be limited to that spot, and the uneasiness was such that she could not lie on that side. She was about six months pregnant when she first discovered it. As pregnancy advanced, the lump was pressed between the left ilium and lower rib, and became less and less movable, upAvard and doAvmvard only and over a small extent of surface. This motion, sucli as it was, was very decided. Tho "lump" could not be moved toward the umbilicus. At the time of confinement, she was much larger than ever before. Almost, immediately after the confinement, the "lump" ortumormoved toward the median line, and for twenty-four hours was very painful. The pain then gradually ceased. The abdomen never fell doAvn to the
doi:10.1056/nejm185808120590208 fatcat:a4zkjkes2jb4nlvskjibreqvkq