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Image from page 216 of “Diseases of the rectum and anus: designed for students and practitioners of medicine” (1910)

Image from page 216 of “Diseases of the rectum and anus: designed for students and practitioners of medicine” (1910)
Back Pain
Identifier: diseasesofrectum00gant
Title: Diseases of the rectum and anus: designed for students and practitioners of medicine
Year: 1910 (1910s)
Authors: Gant, Samuel Goodwin, 1869?-
Subjects: Anus Diseases Rectal Diseases
Publisher: Philadelphia : F. A. Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image:
ed for this method of excising the coccyxare that it is bloodless, painless, can be performed quickly (infrom two to three minutes), and with two instruments (scissorsand needle) ; primary union can be obtained along the entire cutbecause drainage is not necessary; unpleasant sequels have rarelybeen known to follow it; and, further, because the patients arenot required to remain in the hospital more than a week or tendays. DISEASES, INJURIES, AND TUMORS OF COCCYX 159 FRACTURES, DISLOCATIONS, INJURIES, AND NECROSISOF THE COCCYX The OS coccyx, like other bones of the body, is frequentlythe seat of injury. Fractures and dislocations of the coccyxare not uncommon, and are usually caused by a blow, kick, fall,or the passage of the childs head during labor. Other injuries—gunshot, stab, and extensive laceratedwounds—are occasionally met with in this region. The authortreated a thief who had been shot in the anus while trying toescape; the ball came out near the sacro-coccygeal articula-

Text Appearing After Image:
Fig. 49.—Gants Operation of Coccygogectomy. tion, carrying part of the bone with it. Bellamy treated a boywho was accidentally shot. The coccyx was torn off, and anopening the size of an orange was made in the rectum, throughwhich gas and feces escaped, and fragments of the bone wereplainly visible. Numerous cases of injury to the coccyx, causedby gunshot and bayonet wounds, are to be found in the medicaland surgical history of the War of the Rebellion. Symptoms and Diagnosis. — Fractures, dislocations, and in-juries to the coccyx cause a heavy, dull, aching pain in thisregion, which is made worse by contraction of the attachedmuscles, walking, and sitting. These sufiferers are relieved 160 DISEASES OF THE RECTUM AND ANUS when lying upon the abdomen. Pressure over the end of thebone causes agonizing pain, both in the region of the coccyxand up the back and down the Hmbs. Suffering is intenseduring and for a short while after defecation. Hemorrhage isseldom encountered, except in c

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