Ulcerative Colitis
The patient has kept well for the past nine imionths and appears to be a case in which colotomy was done when the patient was almost extremis and in which the colotoilny wound was closed after five years.
Abstract
colotomy, she developed a fistula bi anlo, which was operated on successfully. At this operation it was observed that there were still ulcers in the rectum and much cicatricial contraction. In April, 1908, nearly five years after the colotomy, she reported herself as being quite well for a long time, although faeces passed through the anus as well as through the colotomy opening. Mr. Carless accordingly operated and was successful in closing the colotoinay opening. The patient has kept well for the past nine imionths. The time is too short for us to be certain that no relapse may occur, but this certainly appears to be a case in which colotomy was done when the patient was almost iin extremis and in which the colotoilny wound was closed after five years. The patency of the colon below the opening was probably maintained by the lavage and by the occasional passage of freces.