Diseases of the rectum and anus; designed for students and practitioners of medicine

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1902 Excerpt: ...2 4. Dysentery 1 5. Rectal catarrh 2 G. Traumatism 2 7. Unknown 3 Total 25 Of the 25 cases, 20 were in women and 5 in men; 13, or more than one-half the total number, had syphilis. Since 1895 the writer has treated a large number of cases of non-malignant stricture of the rectum. The patients were from eighteen months to sixty years of age, the majority being women, and the greater number in middle life. In a few of these cases it was impossible to ascertain the cause of the stricture, owing to the unsatisfactory history obtainable and the fact that stricture had existed for some time before the patient applied for treatment. In the remainder, however, the stenosis was undoubtedly either directly or indirectly due to one of the following causes: Chancre, secondary syphilitic ulceration, gummata, chancroids, proliferating stenosing proctitis, chronic hypertrophic proctitis, gonorrhea, traumatism from foreign bodies, fecal impaction, external violence (impaling), tuberculosis, varicose (hemorrhoidal) ulceration, parturition, ulceration following rectal operations (Whitehead's operation), pressure from retroverted and fixed uterus, urinary calculus, congenital malformation of the rectum and anus, fibroids of the uterus, rupture of the urethra (from fall) and extravasation of urine (followed by sloughing), and hypertrophied and abnormally placed "rectal valves." From a careful study of these cases and consideration of the statistics of others, the writer is fully convinced that, although syphilis is not as common a cause of stricture as some writers would imply, it is. nevertheless, a very frequent cause. He is likewise of the opinion that the stenosis may be the result of congenital syphilis, extensive ulcerations from chancres, secondary syphilitic ...