On Dilation of the Colon in Young Children. [Offprint].
by OSLER, Sir William (1849-1919).
New York:: M. J. Rooney, ., 1893. Series: Reprinted from Archives of Pediatrics, February, 1893. Offprint. 23 cm. 8 pp. 1 fig. Printed wrappers. "Read before the Johns Hopkins Hospital Medical Society, December 19, 1892"--P. . Near fine. "A remarkably interesting specimen was shown at the Philadelphia Pathological Society in 1886 by Dr. W. E. Hughes. The patient, a boy aged three, was troubled in early infancy with obstinate constipation, which became more marked as he grew older, and the abdomen gradually enlarged... Enemata seemed to do little good, and strong purgatives alone seemed to be effectual. When first seen by Dr. Hughes, the belly was enormously enlarged, everywhere tympanitic, and showed through the thin walls greatly distended coils with waves of peristalsis. The child died in an attack of acute colitis..." – Osler (pp. 1-2). "By the 1890s, in the United States the term "dilatation of the colon" was used more often than "Hirschsprung's disease." At the same time, Sir William Osler treated two children with colon dilation who undoubtedly had Hirschsprung's disease. One was a ten-year-old boy with long-standing constipation and a huge distended abdomen. For many months Osler treated him with rectal irrigations at Johns Hopkins University Hospital. Finally, on April 10, 1892, William Halsted operated on the boy. Through a midline incision, he opened the massively distended sigmoid colon, and while Osler did a rectal examination Halsted put his hand down the colon to touch Osler's finger. The "handshake: of these two great surgeons ruled out an intrinsic anatomic obstruction. Halsted then performed a sigmoid colostomy. The boy recovered from the operation and was eventually discharged home. / A second child, also constipated from birth, who suffered from episodes of acute obstruction, was treated by enemas with a long catheter. Osler advised the following treatment: "Regulation of the diet and in very young children, relieving the distention by irrigation several times a day so as to prevent the accumulation of liquids." Thus, Osler and Halsted at Johns Hopkins Medical School clearly described the disease and suggested rational medical and surgical treatments that are still in use. Osler thought there was a defect in the innervation and contraction of the colon; he also said, "One finger in the throat and one in the rectum makes a good diagnostician."" – Sigmund H. Ein & Arlene Ein, "A Historical Review of Hirschsprung's Disease," within: John G. Raffensperger, Children's Surgery: A Worldwide History, McFarland, 2012. (pp. 207-8). Golden & Roland 630. [HM]
(Inventory #: M13516)
You can be confident that when you make a purchase through ABAA.org, the item is sold by an ABAA member in full compliance with our Code of Ethics. Our sellers guarantee your order will be shipped promptly and that all items are as described. Buy with confidence through ABAA.org.