staff. 2nd. The author advises operators never to insert the finger into the rectum during the first or later incisions : this is surely most superfluous advice ; for who would dream of putting his finger into the rectum while making the deep incisions, the same finger being required in the wound to protect the rectum and to keep the point of the knife in the groove of the staff : all authoriti...

rectum another 5,470. Growths in the rectum itself account for about one-third of the large bowel tumours, followed by growths of the sigmoid colon ; but no part of the large intestine is privileged to be exempt from this disease. Although it is somewhat arbitrary on pathological grounds to differentiate growths of the rectum from the rest of the large bowel, differences in clinical features, d...

a " stammering" character and scanty for about a month. He had got temporary relief after catheterisation in a local dispensary. Later on the complaints grew worse, the rectum became prolapsed and there was much straining and frequent passage of stools with blood and mucus. At times he was in such agony that he inserted his fingers into the rectum and tried to pull out the lump that was protrud...

a 45-year-old prisoner violently inserted a 30 cm bottle into his rectum in the prison. he complained of lower abdominal fullness and inability to pass stool. his vital signs were stable and the abdominal examination did not reveal any peritoneal sign. multiple longitudinal ulcer like anal fissures were also remarkable in different positions of the anal wall extending to the rectum. attempts we...

a characteristic appearance on sigmoidoscopy. Distinctive changes may also be seen in biopsies taken from mucosa adjacent to the ulcer. The name 'solitary ulcer' is misleading because more than one ulcer may be present. Moreover, there is a preulcerative phase which is clinically and histologically recognizable. The condition is essentially benign and may persist for many years unchanged. It ha...

The authors review their five-year experience of solitary rectal ulcers. A revision of the most recent literature enables them to outline the characteristics of the disease with reference to its epidemiology, anatomopathology and clinical features. The discussion focuses on the problem of treatment which must be based on a thorough and in-depth knowledge of pathogenetic mechanisms. The paper ou...