Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
ALVINE CONCRETIONS. It sometimes occurs that bodies of a very anomalous
kind are passed from the intestines; but the medical practitioner by a
careful examination of the substance, and a minute inquiry into the
nature of all the ingesta, will frequently succeed in tracing their
origin. _Dr. Marcet_, in his “Essay on Calculous Disorders,” relates
some interesting instances of this kind, which we shall notice in this
place, in order to put the medical man on his guard when called upon to
deliver his opinion upon such occasions. The first case is that of some
concretions put into _Dr. Marcet’s_ hands by _Sir Astley Cooper_, and
which had been discharged by a female patient, under circumstances which
made it questionable whether they had proceeded from the rectum, or from
the urethra; they were, however, discovered to be pieces of undigested
cheese formed into balls by the action of the intestines, or portions of
caseous matter actually formed in the intestines from milk taken as
nourishment by the person, and coagulated by the gastric juices into
those undigestible masses. Another singular species of intestinal
calculus was found by _Dr. Marcet_ and _Dr. Wollaston_ to be oat-seeds,
derived from the oaten cake which the patient had eaten. _Dr. Marcet_
also describes a concretion which, by the assistance of _Dr. Wollaston_,
he discovered to be those small woody knots which are often found in
certain pears, and which the person had previously eaten. The last case
which he relates is not less curious; a philosophical gentleman of
delicate health, and disordered system, voided a number of small red
globular bodies, each of which had in its centre two black opaque spots;
they were supposed to be peculiar animals connected with his disorder,
but _Dr. Wollaston_ soon satisfied himself that they were nothing but
the spawn of lobsters, an extremely indigestible substance, of which the
patient acknowledged to have eaten about the time he passed these
bodies. The author has deemed it necessary to introduce this subject
under the present article; for, strange as it may appear, it not
unfrequently happens, as _Dr. Marcet_ has stated, that persons
apparently respectable, produce bodies, as having been voided, which are
wholly supposititious.
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