Abstract
There is no surgeon of much experience in rectal surgery but has encountered from time to time cases of PRURITUS ANI that defied all his efforts for relief. I have lately discovered, in several of my cases, a cause for chronic pruritus, which has heretofore escaped my attention, and may possibly not have been observed by others. I therefore speak of it in the hope that it may be a source of enlightenment in many cases that have perplexed physicians. I refer to the discovery—in three late instances—of a small superficial ulcer placed between the internal and external sphincters, showing on the posterior surface, but which may be also sometimes found on the anterior surface of the gut, and in the latter situation is very likely to be unnoticed. When one is at a loss to account for any case of pruritus ani, I would therefore advise that this
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