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.
=Gangrene= of the peritoneum may result from intussusception or hernial
incarceration of some portion of the bowel, when the part will appear as
a softened, dark, offensive mass, limited by a band of highly congested
tissue.
=Ascites.= Dropsical accumulations in the abdominal cavity, may result
from obstructed circulation, caused by disease of the liver, kidneys,
heart or lungs; or from pressure upon the vena cava, or portal vein, by
some abnormal growth.
The fluid effused may be nearly colorless, or present various shades of
yellow, red or green, and usually coagulates on the application of heat.
The peritoneum may appear unchanged, or it may present a thickened,
opaque, white or macerated appearance, in chronic cases.
Blood may be found in the peritoneal cavity, as a result of wounds,
rupture of some of the abdominal or pelvic organs, or bursting of an
aneurism.
=Morbid Growths.=
=Tubercular Deposits=, of the miliary form, are not unfrequent in the
peritoneum. They may be diffused over the whole membrane, as
semi-transparent, gray granules, but more frequently are found on the
under surface of the diaphragm, in the neighborhood of the spleen, and
on the viscera generally, while the parietal layer is more free. The
tubercles, acting as foreign bodies, give rise to inflammation, usually
of a chronic form, but sufficient to result in exudation of lymph, and
the formation of adhesions between the adjoining surfaces. Softening of
the tubercular deposits sometimes takes place, and perforation of the
intestinal wall results, leading to an effusion of the intestinal
contents into the peritoneal cavity.
=Cancer= of the peritoneum, is sometimes seen as a primary affection,
yet it more frequently extends to this membrane from some of the deeper
parts. The encephaloid variety may be met with, but the colloid form is
that most frequently seen. The omentum is the occasional seat of this
form of cancer, the membrane in such cases becoming enormously increased
in size.
=Tumors= of various kinds, including _fibrous_, _fatty_, and _cystic_,
may be found in the peritoneal cavity, generally having had their
origin, however, in the sub-peritoneal tissues. _Fatty_ tumors may
originate within the substance of the omentum or mesentery, while
_cystic_ tumors may be found within the broad ligaments of the uterus or
ovaries.
Section II. OF THE STOMACH.
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