Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

INSTRUMENTAL PERFORATION OF THE RECTOSIGMOID

INSTRUMENTAL PERFORATION OF THE RECTOSIGMOID Abstract It must be a very disturbing experience for a physician to find that he has perforated the bowel with a sigmoidoscope. Imagine the sensation of the physician who is reported by Lockhart-Mummery to have looked into his instrument and found himself gazing at the gallbladder! This operator's dismay would have been no less if the perforation had occurred with a bougie or a dilator, for whether the accident happens during diagnostic or therapeutic efforts the intention has been to help the patient, yet harm has resulted. For this reason the subject deserves careful study and analysis. There are many other causes of penetration of the bowel by an object inserted through the anus, some of which have been known for centuries. The code of Hamurrabi states that impalement by "sitting on a stick" will be the punishment for lustful murder. Torture by this means was a common practice in some References 1. Behrend, M., and Hermann, C. S.: Traumatic Perforation of the Sigmoid Colon , J. A. M. A. 101:1226 ( (Oct. 14) ) 1933.Crossref 2. Buie, L. A.: Proctoscopic Examination and the Treatment of Hemorrhoids and Anal Pruritis , Mayo Clinic Monograph, Philadelphia, W. B. Saunders Company, 1931. 3. Burt, C. A. V.: Pneumatic Rupture of the Intestinal Canal , Arch. Surg. 22:875 ( (June) ) 1931.Crossref 4. Conway, F. M.: Impalement of the Rectum , Surg., Gynec. & Obst. 66:222, 1938. 5. Crohn, B. B., and Rosenak, B. D.: Traumas Resulting from Sigmoid Manipulation , Am. J. Digest. Dis. & Nutrition 2:678, 1936. 6. Fatal Use of the Sigmoidoscope, Foreign Letters (London) J. A. M. A. 78:829 ( (March 18) ) 1922. 7. Gant, S. G.: Diseases of the Rectum, Anus and Colon , Philadelphia, W. B. Saunders Company, 1923. 8. Goldman, C.: Rupture of the Rectum During Proctoscopic Examination , J. A. M. A. 93:31 ( (July 6) ) 1929. 9. Lee, W. E., in discussion on Walkling, A.: Rupture of the Sigmoid by Hydrostatic Pressure , Ann. Surg. 102:471, 1935. 10. Lockhart-Mummery, P.: Diseases of the Rectum and Colon , New York, William Wood & Company, 1923. 11. Ménégaux, G.: Les accidents graves de la rectoscopie , Presse méd. 41:1957, 1933. 12. Pennington, J. R.: A Treatise on the Diseases and Injuries of the Rectum, Anus and Pelvic Colon , Philadelphia, P. Blakiston's Son & Co., 1923. 13. Powers, J. H., and O'Meara, E. S.: Perforated Wound of the Rectum into the Pouch of Douglas , Ann. Surg. 109:468, 1939. 14. Rayner, H. H.: Injury of the Rectum Caused by the Faulty Administration of an Enema , Brit. M. J. 1:419, 1932. 15. Sallick, M. A.: The Conservative Management of Sigmoidoscopic Perforation , Surgery 8:473, 1940. 16. Schmitt, A.: Perforation der Mastdarmes bei der Rektoskopie , München. med. Wchnschr. 59:1155, 1912. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

INSTRUMENTAL PERFORATION OF THE RECTOSIGMOID

Archives of Surgery , Volume 42 (5) – May 1, 1941

Loading next page...
 
/lp/american-medical-association/instrumental-perforation-of-the-rectosigmoid-OAIF0PBs0s
Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1941.01210110052004
Publisher site
See Article on Publisher Site

Abstract

Abstract It must be a very disturbing experience for a physician to find that he has perforated the bowel with a sigmoidoscope. Imagine the sensation of the physician who is reported by Lockhart-Mummery to have looked into his instrument and found himself gazing at the gallbladder! This operator's dismay would have been no less if the perforation had occurred with a bougie or a dilator, for whether the accident happens during diagnostic or therapeutic efforts the intention has been to help the patient, yet harm has resulted. For this reason the subject deserves careful study and analysis. There are many other causes of penetration of the bowel by an object inserted through the anus, some of which have been known for centuries. The code of Hamurrabi states that impalement by "sitting on a stick" will be the punishment for lustful murder. Torture by this means was a common practice in some References 1. Behrend, M., and Hermann, C. S.: Traumatic Perforation of the Sigmoid Colon , J. A. M. A. 101:1226 ( (Oct. 14) ) 1933.Crossref 2. Buie, L. A.: Proctoscopic Examination and the Treatment of Hemorrhoids and Anal Pruritis , Mayo Clinic Monograph, Philadelphia, W. B. Saunders Company, 1931. 3. Burt, C. A. V.: Pneumatic Rupture of the Intestinal Canal , Arch. Surg. 22:875 ( (June) ) 1931.Crossref 4. Conway, F. M.: Impalement of the Rectum , Surg., Gynec. & Obst. 66:222, 1938. 5. Crohn, B. B., and Rosenak, B. D.: Traumas Resulting from Sigmoid Manipulation , Am. J. Digest. Dis. & Nutrition 2:678, 1936. 6. Fatal Use of the Sigmoidoscope, Foreign Letters (London) J. A. M. A. 78:829 ( (March 18) ) 1922. 7. Gant, S. G.: Diseases of the Rectum, Anus and Colon , Philadelphia, W. B. Saunders Company, 1923. 8. Goldman, C.: Rupture of the Rectum During Proctoscopic Examination , J. A. M. A. 93:31 ( (July 6) ) 1929. 9. Lee, W. E., in discussion on Walkling, A.: Rupture of the Sigmoid by Hydrostatic Pressure , Ann. Surg. 102:471, 1935. 10. Lockhart-Mummery, P.: Diseases of the Rectum and Colon , New York, William Wood & Company, 1923. 11. Ménégaux, G.: Les accidents graves de la rectoscopie , Presse méd. 41:1957, 1933. 12. Pennington, J. R.: A Treatise on the Diseases and Injuries of the Rectum, Anus and Pelvic Colon , Philadelphia, P. Blakiston's Son & Co., 1923. 13. Powers, J. H., and O'Meara, E. S.: Perforated Wound of the Rectum into the Pouch of Douglas , Ann. Surg. 109:468, 1939. 14. Rayner, H. H.: Injury of the Rectum Caused by the Faulty Administration of an Enema , Brit. M. J. 1:419, 1932. 15. Sallick, M. A.: The Conservative Management of Sigmoidoscopic Perforation , Surgery 8:473, 1940. 16. Schmitt, A.: Perforation der Mastdarmes bei der Rektoskopie , München. med. Wchnschr. 59:1155, 1912.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1941

References