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.
_Ulcer, and fissure_ of the anus, usually accompany each other, though
either may exist alone. The ulcer, when present, is found just within
the anus, while the fissure extends from this across the edge of the
sphincter. While these affections are trifling in their post-mortem
appearance, they are of great importance from the local trouble and
constitutional irritation which they may produce during life.
_Fistula in ano_, consists in the presence of a false passage along side
the rectum, usually the result of a small abscess in the ischio-rectal
fossa. It is said to be _complete_ when it opens at one end into the
bowel, and at the other through the integument near the anus; and
_incomplete_, when it has but one opening, whether that be on the
surface or in the rectum.
_Hæmorrhoids_ will be noticed under the head of
Morbid Growths.
=Cancer=, in its various forms, may be found in connection with the
intestines, where it is usually primary in its origin. The scirrhus form
is more frequently met with in the rectum, and is likely to involve the
whole circumference of the passage. From the tendency which this form
has to contract the parts, stricture of the rectum is likely to result,
which may become a source of great suffering, and finally of death.
Other forms of cancer may be found in any portion of the intestines; the
colon and rectum, however, being their more frequent location.
Cancer of the intestines is very liable to extend to the surrounding
tissues and organs, and in many cases, perforations of the bowel, or
fistulous communications between the rectum and bladder in the male, or
uterus or vagina in the female, may result.
=Tubercles=, generally of the miliary form, may be found within the
coats of the intestines, principally confined to the peritoneal covering
however. They may occasionally be found in the mucous coat, and in the
walls of follicular ulcers of that membrane.
=Tumors= of various kinds may be found in connection with the intestine.
_Fatty tumors_ may originate within the mucous membrane, and project as
polypoid growths into the cavity of the bowel; or they may commence in
the appendices epiploicæ, and degenerate into a cystic tumor with fluid
contents, or become infiltrated with calcareous matter; or the pedicle
may become atrophied and the tumor detached, and found free in the
peritoneal cavity.
_Adenoid tumors_ may result from hypertrophy of the several forms of
glands of the intestines, and appear as soft, rounded, and perhaps
pedunculated tumors, which are liable to become ulcerated.
_Fibroid tumors_ of small size and polypoid form, may be found in any
part of the intestines, and are generally considered as a result of
chronic inflammation.
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