ADENOCARCINOMA OF THE CA&ICUM, COMPLICATED BY 
INTUSSUSCEPTION * 
By Rosert M. THORNBURGH 
(Major, Medical Corps, United States Army, and Chief of Surgical Service, 
Department Hospital, Manila, P. I.) 
On January 29, 1914, Sergeant A. S., aged 35, was admitted 
to the Department Hospital at Manila. He came from Camp 
Stotsenburg, Pampanga Province, with a transfer diagnosis of 
“dysentery, chronic entameebic, recurrent.” He has had three 
years of tropical service. There was no history of cancer in his 
family. ; 
Previous history.—Malaria in 1906, good recovery; seven ad- 
missions to hospital for “intestinal trouble’ during the past 
year; drinks moderately, smokes moderately, and chews tobacco 
occasionally; had gonorrhea in 1906, good recovery; denies 
syphilis (Wassermann —). 
Present illness.— Onset in May, 1912(?). Severe colicky pain 
in lower abdomen; frequent watery stools, rectal tenesmus, and 
cramps in thighs; mucus present, no blood observed. He re- 
covered from this attack, but from that time on was troubled 
with exacerbations of above symptoms and signs whenever he 
was indiscreet in diet. He is always prostrated and has some 
fever; mucus and sometimes blood in stools. This has required 
one hundred fifteen days in hospital since May, 1912. 
On admission.—tintense colicky pain in lower abdomen; tenes- 
mus of colon and rectum; frequent watery stools containing 
mucus in abundance, very fetid; much flatulence; nausea and 
vomiting; cramps in thighs. 
The patient is well developed, fairly well nourished, facies 
anxious, breath fetid. There is tenderness over colon, espe- 
cially in czecal area; colon distended and hypertympanitic; bor- 
borygmus is marked. Stools contain much mucus, no blood, 
no ova of intestinal parasites, and no protozoa. The heart 
and lungs are negative; arteries, thickened and hardened 
somewhat. 
*Read at the annual meeting of the Philippine Islands Medical Associa- 
tion, Manila, November 4-7, 1914. 
71 
