John Henry Bryant
John Henry Bryant (1867-1906) was an English physician.
Bryant was a painstaking teacher and a man of strong personality, as well as a rugby player of county standard and a fast sprinter. Bryant lost his life to a sudden illness in 1906 at the age of 38. He is best remembered for his eponymous sign: The Blue Scrotum Sign of Bryant
- Born June 4, 1867 Ilminster, Somerset
- 1886-1890 MD, Guy’s Hospital Medical School. Beaney Prize and treasurer’s gold medals for medicine and surgery (1891)
- MRCS, MRCP (1890), LRCP (1895), FRCP (1901)
- Rugby: half-back, playing for Guy’s, Surrey County, and Richmond.
- 1892-1898 Medical Registrar at Guy’s Hospital and demonstrator in pathological anatomy
- 1898 – Assistant physician, Guy’s Hospital
- 1901 – Publisher of ‘Guy’s Hospital Reports’
- 1903 – Lecturer on materia medica and therapeutics
- Died May 21, 1906
Blue Scrotum Sign of Bryant (1903)
Scrotal ecchymosis associated with ruptured abdominal aortic aneurysm (AAA). Extravasation of blood in the retroperitoneum may lead to nontraumatic discoloration beneath intact penile or scrotal epithelium. Ecchymosis typically appears within 3 to 6 days after AAA rupture.
In these two articles Bryant correctly describes the diffuse nature of the atheromatous changes, the possible clinical presentation of AAA as apparent renal colic, and the scrotal and abdominal discolourations as diagnostic clues.
In one case blood was effused into the right spermatic cord, and the corresponding half of the scrotum was much ecchymosed…When blood is extravasated into the anterior abdominal wall ecchymoses may appear…‘Bryant JH. Clin Jour. 1903;23:79
Most recorded cases of Bryant’s sign occur three to six days after onset of abdominal symptoms as noted by Pearlman (1940), Barratt-Boyes (1957) and Beebe (1958)
1987 – RM Ratzan et al, identified the correct historical attribution of lower abdominal/scrotal discolouration secondary to aortic aneurysmal disease as belonging to John Henry Bryant.
- Bryant JH. Suppurative pylephlebitis. 1898
- Bryant JH. A Case of Typhoid Fever without any Lesion of the Intestine, which Gave the Widal Reaction During Life, and from which the Bacillus Typhi Abdominalis was Obtained by Culture from the Enlarged Mesenteric Glands Found at the Necropsy. Br Med J. 1899;1(1996):776-80
- Bryant JH. Functional pulmonary incompetence, and dilatation and atheroma of the pulmonary arteries, as complications of mitral stenosis. 1899
- Bryant JH. Acute intestinal obstruction caused by the ileum becoming adherent to a lithopedion. 1899
- Bryant JH. Spleno medullary leuchaemia. 1900
- Bryant JH. Ascites. 1900
- Bryant JH. Haemoptysis. 1900
- Bryant JH. Pneumococcus peritonitis. 1901
- Bryant JH. On lymphadenoma. 1901
- Bryant JH. A case of pneumococcal peritonitis. 1901
- Bryant JH. Two clinical lectures on aneurysm of the abdominal aorta: lecture 1. Clin Jour. 1903;23:71-80
- Bryant JH. The value of blood examinations as an aid to diagnosis and prognosis. 1903
- Obituary: John Henry Bryant. Lancet 1906; 167(4318): 1575
- Obituary: John Henry Bryant, M.D.Lond., F.R.C.P. Br Med J 1906; 1: 1319.
- Biography: John Henry Bryant. Munk’s Roll: Volume IV.
- Bibliography. Bryant, John Henry. WorldCat Identities
- Ratzan RM, Donaldson MC, Foster JH, Walzak MP. The blue scrotum sign of Bryant: a diagnostic clue to ruptured abdominal aortic aneurysm. J Emerg Med. 1987; 5(4): 323-329
- Davis AL, Shepherd T, Cadogan M, Foo J. Bryant’s sign as a manifestation of a retroperitoneal paraduodenal bleed and subsequent small bowel obstruction. BMJ Case Rep 2022;15:e247442.
the person behind the name
Associate Professor Curtin Medical School, Curtin University. Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM Sir Charles Gairdner Hospital. Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |