face of bladder, anteriorly and toward outlet ; pelvis not examined for fracture. Kidneys and other organs unin- jured. (Hospital, 39, 40.)
The appearance of external injury, in case of rupture of the organs of the abdomen by external violence, seems to be very exceptional ; and, as the fact is so different from what would be expected, it deserves especial notice in refer- ence to diagnosis. 1849. Dr. J. B. S. Jackson.
2237. A portion of the rectum, showing the mechanical injury
that was done by the passage of a bougie.
From a gentleman, aet. sixty years, who died after a short sickness, with symptoms of obstruction, connected with an annular stricture, 15 in. from the anus. 1861.
Dr. J. B. S. Jackson.
The above is only one of several cases that I have ex- amined, and in which the passage of some instrument into the rectum has been the immediate cause of death.
2238. Pelvic organs, apparently from, an old woman. The
lower portion of the rectum is greatly distended, as from faecal accumulation ; but not thickened. 1847.
Dr. J. C. Warren.
2239. A portion of large intestine, showing the hypertrophy of
the muscular coat that occurs in case of mechanical ob- stacle. 1850. Dr. J. B. S. Jackson.
2240. A few inches of the lower portion of the large intestine, cut open, and showing the orifices of numerous little sacs, formed by a hernial protrusion of the mucous coat ; the intestine being loaded with fat, as it usually, if not always, is in such cases. 1852.
This affection I have met with very frequently in the large intestine, but never in the small ; excepting two ca- ses (No. 2242 ; and No. 486, in the Med. Soc.'s Cabinet) ; but these two were otherwise exceptional. Others, how- ever, have found it only in the small intestine ; and a case has been figured by Sir A. Cooper, in his work on Hernia.
Dr. J. B. S. Jackson.
2241. A second and very remarkable specimen ; the arch of the colon being the part affected. The sacs are much larger than they are generally seen, and so numerous in some
�� �
