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The British Journal of Children´s Diseases, 1917, Vol. 14 (Classic Reprint)




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Excerpt from The British Journal of Children´s Diseases, 1917, Vol. 14 Caaes of other types have also been reported by Morse, Dun, Pritchard and Drew, Rogers, Whipham and Fagge, Rotch, and Umber. Malformations of this region may be subdivided into various groups, as follows: I. Complete absence, generally associated with gross malformations as in monsters; 8 cases are on record. (1) Cooper: ´Traite d´Anat. path.,´ i., p. 475 (quoted by Griffith and Lavenson). (2) Heath: ´London Mod. Gaz.,´ 1840, xxvi, p. 548 (a brief reference only). (3) Lozach: ´Journ. Univ. des Sei. Med.,´ 1810, iii, p. 187. (4) Mackenzie : ´Diseases of the Throat and Nose, 1884, ii, p. 217. (5) Mellor: ´London Med. Gaz.,´ 1840, xxvi, p. 542. (6) Mondiere: ´Hufeland´s Journal,´ 1820, L. ii, p. 123 (quoted by Griffith and Lavenson). (7) Sonderland: ´Harless´s Rheinische Jahrbücher,´ 1819, i, p. 198; and ´Hufoland´s Journal,´ 1820, ii, p. 138. (8) Tiedemann: ´Anatomie kopfloser Missgeburten´ (quoted by Schoeller). II. Double oesophagus, with reunion at the lower end, is still more rare. Blasius published one such case. In Kathe´s case there appeared to be a narrow supplemental lumen in the wall of the tube. (1) Blasius: ´Observata anatom, pract. in homine, Ludg. Batav. et Amster.,´ 1674, Tab. XV, fig. 6. (2) Kathe: ´Virchow´s Archiv,´ 1907, cxc, p. 78. III. Diverticula or pouches, pharyngeal rather than oesophageal, being situated posteriorly at the junction of the pharynx and oesophagus. They are found in later life, more often in men than women, and not in children. Possibly there may be a primary congenital weakness or deficiency of muscle at the point of origin, or they may develop from an imperfectly closed branchial fissure. IV. Cysts have been described by Hebb and H. M. Fletcher. Hebb´s specimen is in the museum of the Royal College of Surgeous. It is about 20 min. in diameter, lined by epithelium like that of the trachea, with a wall chiefly of muscular tissue and mucous membrane. It was obtained from a woman, aged 31 years, who died from heart disease, and was situated in the upper part of the oesophagus, in the angle between it and the trachea, about 1¿ in. below the left lobe of the thyroid. It arose during separation of the trachea from the oesophagus. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


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