Document Detail

"Flatus profuse present in the muscles": subcutaneous emphysema of the lower abdominal wall and thighs, described in 1593 by fabricius hildanus.
MedLine Citation:
PMID:  19538099     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Between 1598 and 1641, 600 medical and surgical observations made by the famous German surgeon Guilhelmius Fabricius Hildanus (1560-1634) were published in his Observationum et curationum chirurgicarum centuriae I-VI. METHODS: Review of the extant document for evidence of infection-related cases. RESULTS: One of the case reports, published as Observatio LXX in the fifth Centuria, bears the title (in translation) Of flatus, profuse present in the muscles. This case report probably is the earliest accurate description of subcutaneous emphysema of the lower abdomen and thighs secondary to a retroperitoneal abscess. CONCLUSION: The presence of gas in the superficial tissues of the abdominal wall or thighs is a rare feature and can be a late sign of an otherwise-obscure intra-abdominal abscess with gas-producing bacteria. Fabricius Hildanus almost certainly was the first to document this rare feature in 1593, and judged it important enough to describe in his Centuriae.
Erwin J O Kompanje; Ben van der Hoven
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Publication Detail:
Type:  Case Reports; Historical Article; Journal Article    
Journal Detail:
Title:  Surgical infections     Volume:  10     ISSN:  1557-8674     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-25     Completed Date:  2009-10-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815642     Medline TA:  Surg Infect (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  349-51     Citation Subset:  IM    
Department of Intensive Care, Erasmus MC University Medical Center Rotterdam, The Netherlands.
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MeSH Terms
Abdominal Wall / pathology*
Bacterial Infections / diagnosis*,  history*
History, 16th Century
Subcutaneous Emphysema / diagnosis*,  history*
Thigh / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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