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
Upon opening the abdomen, the smell was not unusually offensive, and its
contents did not appear to have undergone alteration after death, but
several ounces of a highly-coloured liquid were found in the cavity. The
surface of the jejunum and ilium presented many purple spots, some of
which were several inches in circumference. The peritoneal surface of
the stomach, in a tract which extended from the cardia, and occupied,
for some distance downwards, the whole circumference of that viscus,
except the small curvature, was of a clear, dark red colour; and through
this space dark lines, apparently veins, were observed to ramify. This
appearance, perhaps, from 20 to 30 square inches in extent, was strongly
marked in contrast with the natural state of the inferior extremity and
small curvature. The substance connecting the stomach to the spleen,
was, as well as a small part of the transverse colon, of a red colour.
The spleen was gorged with blood; the liver healthy. The duodenum, from
a small distance below the pylorus, almost to its inferior extremity,
and round nearly the whole intestine, was of a very dark purple colour.
Upon opening the stomach, the internal surface of that part where the
outward appearance, already described, existed, was found of a bright
red colour, and over this lighter dots were thickly scattered[203],
making such an appearance as might be produced by a red colour being
dashed from a painter’s pencil, upon a somewhat darker _ground_.
The internal coats of the duodenum were very dark coloured, with a
slightly reddish hue, pulpy, thickened, and easily separated from the
peritoneal covering, while in one roundish spot, of the size of a crown
piece, the villous and muscular coats were entirely wanting. Red patches
were observed on the inner surface of the jejunum and ilium, the shape,
size, and situation of which were the same as those of the appearances
already noted as occurring on the outside of these intestines. The
stomach and duodenum contained about a quart of a brown, semi-opaque,
thickish liquid; the jejunum and ilium were empty, and coated with a
yellow viscid matter. The lungs and heart were quite healthy; but in the
cavity of the thorax were ten ounces of a reddish turbid liquid, and
about half that quantity in the pericardium. The pharynx was of an
unusually red colour. The whole of the brain was healthy, and of firm
consistence.”
_Mr. Murray_ concludes by stating that no part of the salt and milk used
on the sunday morning, was to be found after he visited the family, and
that although the remainder of the meal, and also the contents of
_William Mitchell’s_ stomach and duodenum were examined by _Drs.
Henderson_ and _Fraser_, of Aberdeen, as well as by _Mr. Craigie_,
surgeon, who assisted in the dissection, and _Mr. Alexander Murray_,
yet, “_no poisonous ingredient was detected in these substances_.”
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