An Address ON ARTERIO-SCLEROSIS AND THE KIDNEYS: Delivered before the Kensington Division of the Metropolitan Counties Branch
Authors: C. Alibutt
Journal: BMJ (1911)

looking woman, with a clean skin, bowels regular, appetite returned, and felt markedly better.In March, 1907, a sharp attack of abdominal pain followed by vomiting caused the diagnosis of perforated gastric ulcer, and a surgeon opened the abdomen; none was found.Recovery uninterrupted.Since then she has been in excellent health and spirits, and now writes that she is quite well and thoroughly interested in and pleased with life.CASE XLVII.-Asingle woman, who had suffered for years from severe constipation, and since 1905 had also passed mucus.This had been accompanied by great abdominal pain; her appetite had gone, and she had lost much weight.She showed marked signs of autointoxication.In April, 1907, ileo-colostomy.In January, 1911, her doctor writes that she is well nourished and looks well.Her colitis and constipation are quite cured.She has some abdominal pain still, and during an attack was seen by a consultant, who advised me to explore for gastric ulcer, which, however, I did not find.She has been passing small uric acid stones from the right kidney, and this is associated with pain.CASE XLVIII.-Asingle woman, who had .sufferedfor years from extreme constipation, which had progressed, in spite of all treatment, up to an action once a fortnight.The act was accompanied by extreme pain, and was associated with leftsided abdominal pain, constant nausea, and attacks of vomiting.In 1903 the abdomen was opened and a cystic ovary removed.ZEer condition became desperate; she was a yellow, sallow colour, markedly wasted, and at the end of her tether.For seven years she had been a complete iuvalid, and had scarcely -been outside her house.At the time of the operation her condition was desperate.In September, 1909, colectomy was performed, and the bowel was found firmly adherent, and a large mass of tuberculous glands was present, which involved nearly the whole of the mesentery of the small intestine.In February, 1911, her dootor writes that " the improvement is really extraordinary.She has made a steady progress back to health.She is now quite plump again, and nas put on a lot of flesh.She goes out and calls on her friends.She walks miles, and does all her housework.She is an entirely different person."CASE XLIX.-A single woman, aged 40, had marked constipavtion for nine years, so that now by the aid of purgatives and enemata she averages one action a week.Frequent headaches.Constant cold hands and feet.Frequent abdominal pain.Is sallow and pigmented.Marked cystic changes in her breasts.She suffers from marked mental depression and inability.She cannot do any housework.In August, 1910, an ileo-colostomy was performed, and she was discharged very markedly improved, much brighter mentally, ber skin cleaner, vomiting and headaches gone.She is quite comfortable and feels much improved.In February, 1911, she writes that she is still very pleased with her condition.CASE L.-A man, aged 43, had always been inclined to be con- ,stipated.In 1898 he went abroad and bad several attacks of dysentery with marked abdominal pain.He was treated by the greatest authorities, with only temporary benefit, and in August, 1906, soon after his return home was seized with haemorrhage and pain.