Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
is necessarily out of the question, for death is immediate; the red and
inflamed appearance therefore of the stomach can alone be accounted for
by regarding it as the effect of the sudden cessation of the heart,
producing an accumulation of the blood in the extreme arterial branches.
But what shall we say of _Dr. Haviland’s_ case? so far from the patient
dying suddenly, and in the plenitude of health, he expired after a
lingering illness of three weeks, and yet, upon dissection, the stomach
was found _highly vascular_. This is in direct opposition to the theory
of _Mr. Burns_, and, we must confess, is not a little embarrassing.
Where the gastric solution has proceeded so far as to produce
perforations in its coats, _Mr. Hunter_ states that, “the contents of
the stomach are generally found loose in the cavity of the abdomen,
about the spleen and diaphragm; and that in many subjects this digestive
power extends much farther than through the stomach. I have often
found,” says he, “that after it had dissolved the stomach at the usual
place, the contents had come into contact with the spleen and diaphragm,
and had partly dissolved the spleen, &c.” With respect to the appearance
of the gastric perforations, _Mr. Hunter_ characterises them as having
“their edges apparently half dissolved, very much resembling that kind
of dissolution which fleshy parts undergo when half digested in a living
stomach, viz. pulpy, tender, and ragged.”
As certain corrosive poisons will occasionally produce such organic
lesions in the stomach, as lead to perforations in its membranes, a
question naturally arises, _how are we to distinguish such
disorganizations, produced by causes acting during life, from those
which result from solution after death_? To this we may at once return a
general answer, that in a judicial investigation, we ought not to
attribute erosion of the stomach to poison, except it be accompanied by
evident marks of previous inflammation and reaction, or with gangrenous
appearances; unless indeed the poisonous substance be found in the
stomach, or the symptoms, previous to death, be characteristic and
satisfactory. It has been stated that the edges of the natural
perforation are “pulpy, tender, and ragged,” whereas those produced by
the caustic action of a poison will generally be found well defined, and
of the same thickness as any other part of the stomach. But let it be
remembered, that, after all, it is upon the detection of poisonous
matter in the stomach, that the prudent physician will place his great
reliance. We have thus offered a review of the different opinions which
have been entertained upon this important question, and in conclusion we
may observe, that there will necessarily exist in each particular case,
circumstances which no general views can comprehend, and upon which the
practitioner must exercise his judgment and discretion. It is not our
intention at present to enter fully into the several questions which
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account