TRANSDUODENAL DECOMPRESSION AND REINTRODUCTION BY PROCTOCLYSIS OF GASTRO-INTESTINAL DRAINAGE IN ACUTE MECHANICAL ILEUS

Abstract

Mrs. F. B., aged 45, married and the mother of two children, admitted to St. Elizabeth Hospital, July 23, 1933, had three days previously had a sudden onset of colicky pain in the epigastrium, which localized in the right lower quadrant within twenty-four hours. Simultaneously with the onset of pain she vomited repeatedly and felt as if she had a fever. After three days of ineffectual self medication, a physician was called, who advised immediate removal to the hospital. Her previous history was essentially negative with the exception of an attack of scarlet fever in infancy and a fracture of the right seventh rib due to an automobile accident in January 1933. The family history revealed that one sister had died of pulmonary tuberculosis. On admission her temperature was 100 F., pulse 104 and respiration rate 28. There was marked rigidity of the right abdominal muscles with pronounced tenderness at