. Les maladies du rectum et anus : conçu pour les étudiants et les praticiens de la médecine. retion névrose du côlon et rectum;fibrineuse, tubulaire, ou des éruptions colo-rectite. Colo-membraneuse rectite est une inflammation de l'colonand rectum propre à névrosés, et se caractérise par colickypains, rapidement suivie par la libération de grandes quantités dans ofmucus sous forme de masses irrégulières, cordes, ou tube-comme PROCTITlb 217 jette (Fig. 57) de l'intestin. Il est extrêmement rare chez les enfants, et se produit beaucoup plus fréquemment chez les femmes que chez les hommes. Auteurs conviennent généralement que la constipation est un

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. Diseases of the rectum and anus: designed for students and practitioners of medicine. retion neurosis of the colon and rectum;tubular, fibrinous, or desquamating colo-proctitis. Membranous colo-proctitis is an inflammation of the colonand rectum peculiar to neurotics, and is characterized by colickypains, soon followed by the discharge of large quantities ofmucus in the form of irregular masses, strings, or tube-like PROCTITlb 217 casts (Fig. 57) of the bowel. It is extremely rare in children, and occurs much more frequently in women than in men. Authors generally agree that constipation is a prominentetiologic factor in cases of membranous colo-proctitis. Inspeaking of this affection Mathieu says: It is a superficialcatarrhal inflammation of the large intestine, unassociated withany deep lesion, at least in recent cases. It is probable thatthe desiccation of the mucous secretion by resorption of itswater gives to it a glutinous and then a membranous aspect.However, there may be a more deeply seated inflammation, which may lead even to ulceration, becoming then an inter-. Fig. 57.—Membranous Colo-proctitis, - Showing Membrane Inclosing Fatty andGranular Epithelia and Leucocytes. (Leitz; objective, 6; ocular, iv.) stitial enteritis. Wanebroucq has seen cases of this kind, butthe name, interstitial enteritis, certainly applies only to a smallnumber of severe and inveterate cases of muco-membranouscolitis. It is probable that muco-membranous enteritis is nota morbid entity, but that it may depend upon various etiologicfactors. However this may be, it occurs frequently as a com-plication of constipation. It would appear that constipation, either by direct orreflex irritation, excites the mucous cells to hypersecretion, and in persons suffering from chronic constipation this over-secretion may become a part of the Hfe of these cells and be 218 DISEASES OF THE EECTUM AND ANUS extremely difficult to combat. The author has seen a few casesof membranous colo-proctitis in whi

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