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)

79

opened the body, and gives the subsequent
account of the direction.
" I procured leave to open the body, and,
railing the integuments, laid bare the lym-
phatic gland which I had felt, which was much
enlarged and inflamed. I then dissected Pou-
part's ligament very clean; and though I
raised up the edge of the gland all round with
my finger, I could discover no appearance of
a hernial sac. I then cut into the substance
of the gland, without being able to see any
thing like a rupture. After this, I made an
opening into the cavity of the abdomen, and
presently saw that a very small portion of the
ileum had descended, and was sfrangulated.
The interline above the strangulated part was
livid, where I made an inciiion into it, and
sound that I could pass a blow-pipe, or my fin-
ger, along the intestinal canal beyond the stran-
; gulated part, and without interruption srom it.
On disfecting away the lymphatic gland, I faw
that a small portion os the intestinal tube,
about the size os a hazle-nut, had descended."
A