1863 The Lancet  
Under the care of Mr. URE.) MRS. S-, aged fifty, a widow, the mother of three children, admitted Dec. 6th, 1860, late at night, with strangulated femoral hernia of the right side. On the 4th current, in consequence of a fright, she slipped down stairs, and presently perceived a swelling in the groin, since which occurrence her bowels were confined; she felt constant sickness, and vomited the simplest food. As far as could be ascertained, the hernia had been strangulated at least thirty hours
more » ... ast thirty hours before she was brought into the hospital. There was a small, tense, oblong tumour, not larger than a nutmeg, situate below the middle of Poupart's ligament. the superincumbent skin was nowise discoloured. The patient complained of pain radiating through the abdomen. The pulse was 10S, contracted ; the tongue was slightly furred along the centre. The patient having been placed in a warm bath, the taxis was fairly tried, but to no purpose. At midnight Mr. Ure performed the usual operation, which presented no difficulty. After dividing the skin and cutting through the superficial fascia, he reached the hernial sac, which contained a small knuckle of intestine, apparently of natural colour. He then passed his finger up to the stricture, which he notched in two places with the hernia knife, and carefully returned the protrusion, without opening the sac. The edges cf the wound were held together by three points of suture. Dec. 7th.--Slept well; pulse 100 ; tongue still furred, but
doi:10.1016/s0140-6736(02)62699-6 fatcat:hrbcc2ewafakpkit3qfuzcphfi