Surgical Emergencies : 12 Lectures Delivered At the University of Leipsic

Cover Surgical Emergencies : 12 Lectures Delivered At the University of Leipsic
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Perilous contraction of the cranial space (see below).
We must distinguish accumulations of fluids within the abdomen which occur either free in the abdominal cavity (Ascites), or which are found within pathological cystic spaces (echinococci, hydronephrotic sacs, ovarian cysts), or finally such as lead to the development of tumorS of retention within hollow organs.
Free accumulations of fluids within the abdominal cavity occur : 1. In chronic inflammation of the peritoneum (peritonitis chronic
...a tuberculosa). If during this process extensive ad- hesions have been formed, the fluid may accumulate and be encysted in one part of the abdominal cavity, which condition requires differentiation from cystic intra-abdomi- nal tumors when an operation is to be performed.
2. In general hydraemia, such as occurs in prolonged suppurations, in amyloid changes in the organs, in the syphilitic cachexia, etc.
3. In abnormal secretion of the urine in the course of chronic nephritis.
4. In consequence of engorgement of the portal circula- tion in diseases of the liver or of the heart.


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