The Southern Practitioner, Vol. 30

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Excerpt from The Southern Practitioner, Vol. 30: An Independent Monthly Journal Devoted to Medicine and Surgery, April 1908The etiological factors entering into the cause Of volvulus are numerous.Fecal impaction stands first upon the list. The waste material fills the fecal reservoir, the upper part Of the filled portion causes it to prolapse upon the lower part, thus bringing the two ends near together, when peristaltic movements twist them upon each other. Of other causes for volvulus, the most active are undue Intestinal peristalsis, a long mesentery, contracting exudate in the mesentery, tumors and bulky, undigestible food stuffs.The changes that follow a complete closure Of a portion of the intestines by a twisting about the mesenteric axis is congestion due to interference with the venous return, edematous thickening Of all Of the bowel coats, decomposition Of the intestinal contents with formation of gas, and then necrosis of the strangulated part.At first there is violent peristalsis without much abdominal dis tension, but this is soon followed by paralysis Of the intestinal wall and gaseous distension Of the abdomen and a collection into the peritoneal cavity Of a quantity Of bloody ¿uid.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.