It was said that this hernia did not enlarge until after his
service as a soldier in the late war.
Abbott recites the case of an Irish woman of thirty-five who
applied to know if she was pregnant. No history of a hernia could
be elicited. No pregnancy existed, but there was found a ventral
hernia of the abdominal viscera through an opening which extended
the entire length of the linea alba, and which was four inches
wide in the middle of the abdomen.
Pim saw a colored woman of twenty-four who, on December 29, 1858,
was delivered normally of her first child, and who died in bed at
3 A.M. on February 12, 1859. The postmortem showed a tumor from
the ensiform cartilage to the symphysis pubis, which contained
the omentum, liver (left lobe), small intestines, and colon. It
rested upon the abdominal muscles of the right side. The pelvic
viscera were normally placed and there was no inguinal nor
femoral hernia.
Hulke reports a case remarkable for the immense size of the
rupture which protruded from a spot weakened by a former abscess.
There was a partial absence of the peritoneal sac, and the
obstruction readily yielded to a clyster and laxative. The
rupture had a transverse diameter of 14 1/2 inches, with a
vertical diameter of 11 1/2 inches.
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