BRINGING DOWN THE SYMPTOM (E. Wahl, 1833 — 1890, is mute. the surgeon) — the limited abdominal distention caused by accumulation of gases in the overwound loop of a gut, observed at torsion or nodulation of intestines. It is described the prof. Derptsky un-that by Wal in 1889 as a characteristic sign of strangulyatsionny impassability. According to the description of the author, at this symptom asymmetry in bottoms of a stomach is observed and clearly the resistant, dense gut is probed, over a cut at percussion the high-pitched tympanic sound is defined, at concussion — capotement. At a number of patients through an abdominal wall the peristaltics of intestinal loops can be visible.
In the subsequent V. pages began to treat more widely and to use in diagnosis of other types of impassability of intestines, including invagination and obturation. So, D. P. Chukhriyenko considers that V. of page often meets at invagination (to 78,3%), S. A. Rusanov points to asymmetry of a stomach in the form of three cross shaft, including it by a characteristic symptom of torsion of all small bowel or its most part.
V.'s localization by the village depends on the level of an obstacle. At disturbance of passability of an ileal gut swelling usually is defined in mezogastralny area, in the presence of an obstacle in proximal or distal department of a large intestine — respectively in the right or left ileal area. In process of accumulation of gases in intestines the meteorism extends a pas all stomach and asymmetry disappears.
See also Impassability of intestines .
Bibliography: Norenberg-Charkviani A. E. Acute impassability of intestines, M., 1969; Wahl E. Uber die klinische Diagnose der Darmocclusion durch Strangulati onen oder Achsendrehung, Zbl. Chir., S. 152, 1889.
Of H. Akzhigitov.