PAGE

k. A fish-bone discharged from an abscess twelve
months after it was swallowed

225

1. Abscess from which the core of an apple was re-

moved

225

m. Abscess from the lodgment of a fish-bone

225

n. Abscess from which the pelvis of a snipe was re-

moved

226

o. Abscess produced by perforation of the rectum by

a fish-bone

226

a. Fistula from abscess following an ulcer of the

rectum

237

b. Fistula in ano, communicating also with an open-

ing in the groin

242

c. Louis XIV, trial of various plans of treatment

d. Fistula closed spontaneously

e. Hæmorrhage from dividing the sinus high up the

bowel

256

f. Fistula from disease of liver; hæmorrhage after

operation

257

g. Fistula connected with disease of ischium

269

h. Fistula connected with disease of arch of pubis

n. Fistula resulting from an abscess caused by expo-

sure to cold and wet

273

o. Fistula in ano, and urinary fistula consecutive on

gonorrhoea

p. Fistula from an abscess being allowed to pursue

its own course

q. Fistula in ano; several external openings and

extensive sinuses

PAGE

274

275

276

a. Stricture from growth of fat exterior to the

bowel

286

b. Stricture from fibrous deposit external to the walls

of the rectum

286

e. Supposed stricture, continued use of the bougie;
no contraction discovered after death

295

a. Medullary sarcoma occurring in a boy; death

from peritonitis

305

b. Fungoid disease of the rectum; general health

unaffected for some time

c. Carcinoma of the rectum; large doses of opiates

required to procure ease from pain

PAGE

308

310

d. Cancer of the rectum; secondary deposits in the

liver and lumbar glands

311

e. Cancer of the rectum implicating the vagina ;

constant diarrhoea

314

f. Cancer implicating posterior and lateral portions

of the rectum

315

a. Rectum of a child wounded in the operation of

lithotomy

317

b. Laceration of the rectum from constipation

318

c. Longitudinal laceration of the rectum and margin.

of the anus

320

d. Transverse laceration of the mucous membrane

of the rectum

321

e. Laceration of the recto-vaginal septum and pas-

sage of the child per anum

322

f. Laceration of rectum and part of the perinæum

during parturition

322

g. Laceration of rectum from the kick of a cow

h. Perforation of rectum by the end of an umbrella .

i. Perforation of rectum and bladder by leg of a

chair

324

325

325

k. Perforation of rectum and peritoneum by an

enema pipe

325

m. A catheter thrust through the urethra into the

rectum

PAGE

325

326

CHAPTER XVIII.

CASES:

a. Ivory clyster pipe removed from the rectum

b. Portion of bone that had been swallowed arrested

c. A fish-bone that had been swallowed arrested at
the rectum; removal
d. A concretion of iron and magnesia fifteen inches
in diameter, removed from the rectum of a lady.

e. Three large concretions, each containing a plum-

stone for a nucleus

332

330

331

333

f. A bottle of Hungary wine thrust into the rectum.

330

h. Porcelain jelly-pot in the rectum

g. Flask of crystal removed from the rectum

i. A tea-cup introduced into the rectum

k. Pipe of a syringe in the rectum

7. A shuttle and its yarn thrust up the rectum to
obviate costiveness

m. A bone arrested in the oesophagus, pushed into.
the stomach, and ultimately lodged in the rectum

n. A mutton-bone removed from the rectum which

had been swallowed eight days previously

o. Jaw-bone of a turbot in the rectum

336

p. Jaw-bone of a fish lodged in the rectum

336

q. A forked stick thrust into the rectum to overcome

costiveness

336

r. A three-pronged stick introduced into the rectum;

removed two months afterwards from abscesses

over the gluteus muscle

s. Pig's tail thrust into the rectum of a female

t. A blacking-pot forced into the rectum by a fall;

extraction; death from subsequent inflamma-

tion

PAGE

338

338

339

u. A cane, nine inches in length, thrust into the

bowel

339

x. Stick penetrating the sigmoid flexure of the

colon; not discovered till after death

342

y. A large plug of wood introduced into the bowel

for the purpose of stopping a diarrhoea

342

z. A quantity of gray peas filling the rectum and

producing death

342

aa. Half a jaw-bone of a rabbit removed from the

rectum by Mr. Liston

343

bb. The neck of a wine-bottle extracted from the

rectum

343

cc. A bougie, nine inches in length and an inch in dia-

meter, removed from the rectum

343