A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
2. _Crural_ or _Femoral Hernia_; when the intestines escape by the
crural canal.
3. _Hernia at the Foramen Ovalis_; when the viscera escape through the
opening which gives passage to the obturator vessels.
4. _Ischiatic_ or _Sciatic Hernia_; when it takes place through the
sacro-sciatic notch.
5. _Umbilical Hernia_; when it occurs at or near the umbilicus.
6. _Epigastric Hernia_; occurring through the linea alba, above the
umbilicus.
7. _Hypogastric Hernia_; when it occurs through the linea alba, below
the umbilicus.
8. _Perineal Hernia_; when it occurs through the levatorani and appears
at the perineum.
9. _Vaginal Hernia_; occurring through the parietes of the vagina.
10. _Diaphragmatic Hernia_; when it passes through the diaphragm.
A more detailed description of hernia belongs to works on surgery.
A hernia, if not reducible, may, by becoming strangulated, give rise to
constipation, hiccough, vomiting, and all the signs of violent
inflammation. Gangrene supervenes, with alteration of the features,
small pulse, cold extremities, and death.
=Incarceration=, is a form of mechanical obstruction of the bowels,
differing from hernia, in there being no escape of the intestine from
the abdominal cavity, as in the latter case. It may arise in various
ways, but the most frequent form is that in which a portion of intestine
becomes constricted by means of fibrous bands which have formed as a
result of peritoneal inflammation. Passing from one portion of the
intestines to another, or from the intestines to the abdominal walls, a
loop of bowel may slip beneath or between these bands, and become so
compressed, as to interfere with the passage of the contents, and result
in great dilatation of the gut above the point of stricture. Complete
strangulation may finally result, and the patient die with symptoms of
mechanical obstruction.
Another, but less frequent form of incarceration, is where a portion of
intestine slips through the foramen of Winslow, or through a congenital
opening in the mesentery, as in the following
CASE:—_Death from Strangulation of the Bowel, from becoming Incarcerated
in an opening in the omentum_.
Mary H——, aged five years, was taken suddenly with great pain in the
bowels at 2 o’clock A. M., having retired the night before in perfect
health. Vomiting soon set in, accompanied with great thirst, and the
whole body became bathed in a profuse cold perspiration. The severe
pain continued, and the vomited matter became stercoraceous. I saw the
case at 10 o’clock A. M., and then found the child in a moribund
condition. The breathing was rapid; pulse very small and frequent;
skin pale, damp and cold; eyes sunken and nose pinched. Rapidly
sinking, she died at 12 M.
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