Hillier speaks of an instance of congenital diaphragmatic hernia
in which nearly all the small intestines and two-thirds of the
large passed into the right side of the thorax. Macnab reports an
instance in which three years after the cure of empyema the whole
stomach constituted the hernia. Recently Joly described
congenital hernia of the stomach in a man of thirty-seven, who
died from collapse following lymphangitis, persistent vomiting,
and diarrhea. At the postmortem there was found a defect in the
diaphragm on the left side, permitting herniation of the stomach
and first part of the duodenum into the left pleural cavity.
There was no history of traumatism to account for strangulation.
Longworth cites an instance of inversion of the diaphragm in a
human subject. Bartholinus mentions coalition of the diaphragm
and liver; and similar cases are spoken of by Morgagni and the
Ephemerides. Hoffman describes diaphragmatic junction with the
lung.
Anomalies of the Stomach.--The Ephemerides contains the account
of a dissection in which the stomach was found wanting, and also
speaks of two instances of duplex stomach. Bartholinus, Heister,
Hufeland, Morgagni, Riolan, and Sandifort cite examples of duplex
stomach.
Pages:
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547