The
umbilicus was completely obliterated. Dade believed that this
hernia was caused by the weakening of the abdominal walls from a
blow, and considered that the protrusion came from an aperture
near the umbilicus and not through it, in this manner differing
from congenital umbilical hernia.
A peculiar form of hernia is spontaneous rupture of the abdominal
walls, which, however, is very rare. There is an account of such
a case in a woman of seventy-two living in Pittsburg, who, after
a spasmodic cough, had a spontaneous rupture of the parietes. The
rent was four inches in length and extended along the linea alba,
and through it protruded a mass of omentum about the size of a
child's head. It was successfully treated and the woman
recovered. Wallace reports a case of spontaneous rupture of the
abdominal wall, following a fit of coughing. The skin was torn
and a large coil of ileum protruded, uncovered by peritoneum.
After protracted exposure of the bowel it was replaced, the rent
was closed, and the patient recovered.
CHAPTER XIII.
SURGICAL ANOMALIES OF THE GENITO-URINARY SYSTEM.
Wounds of the kidney may be very severe without causing death,
and even one entire kidney may be lost without interfering with
the functions of life.
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