Cauterization of the Lining Membrane of the Uterus

Wm. A. Gillespie
1869 Boston Medical and Surgical Journal  
Several years ago a young physician, Dr. «White, came to my office to get some purgative medicine, stating that he was very costive. In a few days he sent a message to me to visit him. He complained of pain and soreness in the right iliac region, which upon examination I found to be tender, with a distinct boggy tumor, some three inches in diameter, dull on percussion. His bowels were costive and he had some fever. I diagnosticated inflammation of the coecum (a very rare disease). General
more » ... ase). General antiphlogistic treatment, purgatives, calomel and a blis-' ter were advised ; but, notwithstanding treatment, general peritonitis ensued, with complete obstruction of the bowels, and he died in two or three days. No postmortem. Some time afterwards I was called in consultation to a Mr. A., fifteen miles from my residence, whom I found laboring under similar symptoms of a more chronic character ; a distinct boggy tumor in the right iliac region, tender and painful, with constipated bowels. He was attended by a young physician, who stoutly and confidently contended that it was a case of hernia ! I advised leeching, fomentations,blistering, calomel and purgatives-but meanwhile an abscess formed and discharged itself externally, and after lingering some weeks he recovered perfectly, and is now a healthy man, aged 70. The third case had a similar history ; a painful chronic boggy tumor in the right iliac region, with constipation ; was attended by a young physician (of more boldness than prudence) who plunged a lancet into the tumor, and the discharge was principally faeces, which continued to flow for some weeks. The late Professor Chas. Bell Gibson was called to the case and pronounced it a hopeless case of artificial anus. Afterwards I* was called, and after hearing the history of the case I inquired if Vol. IV.-^Nos. 15-16 any foeces passed the natural way, and on' Deing answered in the affirmative-I determined to close the external opening. With solidnitrate ofsilver I thoroughly cauterized the thickened, callous, fistulous opening of the artificial anus, then passed three needles deeply through the lips of the orifice, and closed it by wrapping silk ligatures over the needles, as in hare-lip cases. Some ten days afterwards I removed the needles, and found the fistulous opening thoroughly united, the foeces having passed readily per vias naturales. He made a good, early and thorough recovery, and is alive and well now, after ten or twelve years from the time of the accident. Such cases Dr. Symonds, in the Library of Practical Medicine, calls peritonitis of the ccecum.
doi:10.1056/nejm186910280811502 fatcat:p4mttfmyczae3mqsr6sm3zz74q