Clinical Lecture on a Case of Ileo-Colic Intussusception

Abstract

JOIIN McNEIL, a stonemason, aged40, of full stature andgoodphysiqule, but somewhat emaciated, and having a haggard countenance, had b)een working in a country village, from which he came to the Leeds Infirmary on January 8th. Ile had good health till the latter part of November last, six weeks before admission, when he had an at-ack of much pain in the body, and thought he had taken cold in the bowels. Ile was better and worse for some weeks, till the 2ist Decemnber, when he was seized with violent pain and vomiting, the bowels being very costive. lIot fomenitations and castor-oil gave relief; but now food couldnot stay on his stomach, nor brandy, but he could take port wine. There is no hiistory of his having passed any blood from the bowels. Ile continued to have much pain and frequent vomiting, and diarrhoea succeeded to the previous constipation. The case wvas not understood; there was some suspicion of fever; and, to avoidrisk, he was sent to Leeds. At the time of admission, the symptoms were pain in the abdomen, varying in severity; occasional vomiting; anorexia; tendency to diarrhoea; tongue furred, and rather red on the margins; abdomen full,