A Practical Treatise on Various Diseases of the Abdominal Viscera (1815)
by Christopher Robert Pemberton (9780217428682)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: The patient always complains more of the tightness than of the pain, and as this tightness is much increased by any congestion in the intestines, the relief which he experiences from evacuating their contents, leads him to attribute his sensations to an habitual eostiveaess, for the removal of which supposed evil all his endeavours are usually directed. In the mean time the disease gains ground till it assumes from some accidental circumstance either the acute form above described, or till co- agtilable lymph is slowly thrown out from the inflamed surface, which, becoming in part organized, will glue together the convolutions of the intestines. In the former case the danger will be extreme from the patient having been reduced to a state of great debility by the duration of the preceding disease; and in the latter case an equal danger will be incurred by the interruption of the peristaltic motion. Sometimes a res. olution of the inflammation takes place from the throwing out of a fluid, when Ascites is producfed, which will render the situation of the patient still more hopeless. It frequently happens that the Mesenterie glands are enlarged, but I never saw suppuration in them, or eheesy matter; so that I consider it as a very different disease from a scrofulous affection of these glands, as it seems to he an enlargement of them, merely fron irritatioa of the inflamed membrane, with which they are surrounded. That the disease of the glands follows the course I have here described, and that the in- flam niation does not extend from the Mesenterie glands to the Peritonaeum, I am inclined to believe; first, from the very different set of symptoms, which mark an idiopathic disease of these glands (which will be described hereafter) and, secondly, from the opportunity, which ...

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