Monro, Alexander: Observations On Crural Hernia: To Which Is Prefixed, A General Account Of The Other Varieties Of Hernia: Illustrated By Engravings (Edinburgh [u.a.], 1803)

37

noise upon pressure, or when the patient lies
down; it re-appears when he gets up. When
the patient coughs, the tumour presies on the
hand of the person who is employed in exami-
ning it; when the hand is removed, it increa-
ses in size. When a portion of the omentum
is alio included within the herniary sac, the
tumour feels knotty, and is generally larger
than where there is nothing but intestine with-
in it; but is a quantity of faeculent matter is
contained within the intestine, within the her-
nial sac, it is evident that such a tumour may
bear an impoling resemblance to that con-
taining omentum : hence the diagnostic symp-
toms mull: be drawn, not from the sensation
which the touch communicates, but from the
other concomitant symptoms.
The symptoms in the acute and chronic spe-
cies of herniae are very disferent. The symp-
toms os the acute species very much resemble
those of ileus, they vary a little, and come on
more or less rapidly, according to the degree of
nricture upon the protruded portion of bowel,
c iij and