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
In three of the instances alluded to by _Mr. Burns_, the patients had
been worn out by debilitating diseases; and they were emaciated and
anasarcous. That the solution of the coats of the stomach in these cases
was properly attributed to the gastric juice is very satisfactorily
shewn by the relation of the following instructive dissection. “I had
occasion,” says _Mr. Burns_, “two days after death, to open the body of
a very emaciated and anasarcous young girl, who had died from scrofulous
enlargement of the mesenteric glands. On raising the coverings of the
abdomen, the stomach, which was empty, presented itself to view, _with
its front dissolved_.[187] The aperture was of an oblong shape, about
two inches in its long diameter, and an inch in its short, with tender,
flocculent, and pulpy edges. This I demonstrated to the pupils attending
my class; and I especially called their attention to the fact, that the
liver, which was in contact with the hole, had no impression made on it.
Having proceeded thus far, I placed all the parts as they had been,
stitched up the abdomen, and laid the body aside in a cold situation for
two days. Then I opened it again, in presence of the same gentlemen, and
we found that, now, _the liver, where it lay over the dissolved part of
the stomach, was pulpy; its peritoneal coat was completely dissolved,
and its substance was tender to a considerable depth_. At this time the
other parts of the liver were equally solid as before, and as yet every
part of the subject was free from putrefaction; _the posterior face of
the stomach, opposite to the hole, was dissolved, all except the
peritoneal coat, at least the internal coats were rendered pulpy and
glutinous; the peritoneal covering had become spongy and more
transparent than it ought to have been_.” These facts, in addition to
the many other important conclusions to which they will give rise,
admonish us, that in judicial investigations into the cause of
dissolution of the coats of the stomach, _the appearances will vary,
according to the period after death at which the body is examined_. But
the most satisfactory case which has been reported, in proof that the
_post mortem_ solution of the stomach may occur after a lingering
disease, is that just published by _Dr. Haviland_,[188] where the
patient died of fever after an illness of 22 days; when upon opening the
body about 12 hours after death, the following appearances were noticed:
“On raising the stomach and examining the little omentum, we were
surprised by the appearance of a dark-coloured fluid, which seemed to
escape from the former viscus. A most careful search was now made, and a
large opening was perceived in the stomach on the upper and back part,
near the cardia. The stomach was then detached, with a portion of the
œsophagus and duodenum, when a large perforation of the diaphragm came
into view, in the muscular part, corresponding precisely to, and
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