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.
_Croupous Inflammation._ The mucous membrane is also subject to a
chronic or sub-acute form of inflammation resulting in the production of
an exudation much resembling that of croup. Sometimes it forms in a
layer of some thickness, pretty uniformly over the surface, or appearing
in the stools as tubular casts of the intestines; sometimes it is very
thin, or consists of mere shreds. The anatomical changes observed will
be similar to those just noticed.
_Perityphlitis_ is an inflammation of the loose areolar tissue around
the cœcum, occurring primarily or in consequence of typhlitis. If not
checked, it ends in the formation of abscess in the right iliac fossa,
which may discharge either into the neighboring viscera, or externally
through the abdominal walls, mostly near Poupart’s ligament.
_Peripractitis_ is an inflammation of the areolar tissue around the
rectum. The resulting abscess discharges either externally, back of the
anus, or in the perineal region, or internally into the rectum, or more
rarely into the bladder, the vagina, the uterus, or into some other part
of the intestines. Fistula in ano, frequently originates in this manner.
=Ulceration.= Ulceration may occur as the result of inflammations both
catarrhal and croupous, and whether commencing in the mucous or the
muscular layer, the ulcers may perforate the intestinal walls and give
rise to an escape of the contents; or the ulcers may cicatrize with the
formation of the usual fibroid tissue, which, by subsequent contraction,
may give rise to puckering or obstruction.
_In follicular ulceration_ of the colon, after lientery or tedious
diarrhœa, the follicles are at first tumefied, and project as smaller or
larger, round, conical nodules on the internal surface of the intestine,
surrounded by a dark red vascular halo. Ulceration takes place in their
interior; an abscess with red, spongy walls appears; the follicle is
eaten away, and an ulcer of the size of a pea or lentil is formed. The
mucous membrane is extensively destroyed, and with great rapidity. The
disease is always confined to the colon, but when it runs a very rapid
course, it may be accompanied with catarrhal inflammation of the small
intestines.
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