Abstract
Mechanical obstruction, or ileus of the large or small intestine, is not infrequently encountered. Late diagnosis, together with imperfect technic, or late protracted operations, may be responsible for a high death-rate in all cases of this character. Refinement in diagnosis, with a perfected, rapid technic, will produce a marked reduction in this mortality. Naunyn reports a recovery of 75 per cent. of all patients with ileus operated on the first or second day of the attack, but the mortality was very great in all patients operated on the third day or later. This is verified by an analysis of cases reported during the past year as listed in the index. Very few cases are reported of ileus occurring during pregnancy. Williams reports two cases of intestinal obstruction complicating pregnancy. In one an intussusception occurred at the site of a tuberculous ulcer; the second was due to constriction by peritoneal adhesions
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