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
We have already examined the pretensions of these bodies to the rank of
corrosive poisons, (_page_ 145) and we should have not reverted to the
subject, but from a wish to introduce the account of “_a case of
Schirrus in the intestines, arising from hairs remaining in the canal_,”
as related in the _Edinburgh Medical Journal_,[345] by _Dr. Burrell_,
and which had, on the former occasion, escaped our notice. The subject
of this history, _Laurence Harding_, æt. 35, being a private soldier,
was admitted into the regimental hospital, for an unrelenting
constipation of the bowels; but it appears also that he had been
affected with dyspeptic symptoms, and pain in his abdomen, for several
years; which pain was aggravated by the ingestion of solid food. He
received but little benefit from the remedies that were administered,
his strength gradually declined, and, about a month after his admission,
he expired.
“On laying open the abdomen, the stomach was found much thickened
throughout its whole substance, and the pylorus very much contracted,
which contraction continued down the duodenum. Through all the
intestines this thickening and gristly appearance was observed. The
colon was prodigiously enlarged in its calibre, until where it forms its
sigmoid flexure; at which point there were three distinct holes
ulcerated through the coats of the intestine, and forming a
communication with the abdominal cavity. Beyond the sigmoid flexure the
intestine was contracted in its diameter, so as hardly to admit the
little finger to pass downwards. On cutting open the pylorus and small
intestines, the internal coats were found to be covered with a soft
substance, which resembled size. The internal coats of the colon were of
a dark colour, and in general were completely ulcerated, and hanging in
shreds. The colour of the colon was of a dark lurid red. At the sigmoid
flexure there was much contraction, and the thickening was so great on
one side, and the valve found so considerable, as hardly to admit a
common bougie through it. The portion forming the sigmoid flexure was
cut out; and on laying it open, and removing some hardened fæces, _five
or six hog’s brittles were seen distinctly crossing each other in
different directions_; they were partially invested in the villous coat,
which had grown over them, and which had retained them in the different
positions in which they were placed; and so firmly were they kept down
by those partial coverings, that it required some force to draw them
out. The mesenteric glands were of a cartilaginous appearance; the liver
was suffused with blood, and the gall-bladder full of bile. The spleen
was very small, and compressed into an oblong shape, probably arising
from the pressure of the colon when distended with feculent matter.
Public-domain text, read in full here on John Shaqi.
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