File:Interstate medical journal (1919) (14760934801).jpg

Identifier: interstatemedica2619unse (find matches)
Title: Interstate medical journal
Year: 1919 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Fig. 1.—Adenocarcinoma of the sigmoid colon in a boy aged 19 with symptomscovering one year. Note tumor divided and small lumen of colon. *From the Department of Surgery, New York University and Bellevue HospitalMedical College. Barber: Intestinal Obstruction Caused by Adenocarcinoma 107 The subject is a boy aged 19, entering the hospital on January 1,1918, with symptoms of acute intestinal obstruction. His motherhad died of intestinal cancer in middle life. For the past year hehad suffered from intestinal cramps, but had kept at his work untilthe past two weeks. He had always been constipated, but hadnever had pain when the bowels moved until the past year. He
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Pig. 2.—Photomicrograph of adenocarcinoma of the sigmoid. Sectional view. vomited persistently two days before entering the hospital. Therewas no blood found in vomitus nor in colonic washings. His ab-domen was markedly distended, generally rigid and tender, andespecially so to the left and below the umbilicus. The abdomen was entered through a lower midline incision. Alarge indurated mass, involving the upper extremity of the sigmoidcolon, at once presented itself, with extreme distention of the intes- 108 INTERSTATE MEDICAL JOURNAL tine above it. There were adhesions about this mass. There wasextensive glandular metastasis in the mesosigmoid and upward inthe preaortic lymphatics. Realizing that complete excision wasimpossible, excision of the sigmoidal tumor and of the regionalnodes was accomplished in the hope that the condition might even-tually prove to be inflammatory. The divided ends of colon wereunited by terminal anastomosis. Microscopical examination of the specimen, as r

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