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
Having then shewn under what circumstances the phenomenon in question
may take place, we shall now proceed to describe more minutely the
appearances which it may assume, and _first, with respect to the part of
the stomach, more usually acted upon by the gastric solvent_. _Mr.
Hunter_ thought, that digestion of the stomach after death was
occasioned by that portion of the gastric juice _contained in the
cavity_ of the stomach; consequently it followed, as a fair inference
from this doctrine, that the coats of this viscus will only be acted on
at that part on which the contents of the stomach rested. In _Mr.
Hunter’s_ cases, the great end of the stomach, which in the supine
position of the body is the most depending part of this viscus, was
found to be chiefly affected; a fact which tended to corroborate and
support his opinion, and to render his conjecture extremely probable.
Other anatomists, however, have discovered instances of solution of
other parts of the stomach than the great end, indeed we have already
described such an instance in the case of the emaciated and anasarcous
girl examined by _Mr. Burns_, where the situation of the aperture was
different from what it had been in any of _Mr. Hunter’s_ cases. It was
seated _on the fore-part_ of the stomach, about an inch distant from the
pylorus, and mid-way between the smaller and greater curvatures of this
viscus; at a part of the stomach with which the gastric juice _could not
have come into contact_, as the body had constantly been in the supine
posture. “If then,” asks _Mr. Burns_, “the stomach was not acted on by
the fluid contained in its cavity, how came it to be dissolved?” To us
we confess his solution of the problem appears sensible and
satisfactory. “We cannot, with propriety, ascribe the digestion of the
stomach, in every case, to the gastric juice which has been _poured into
the cavity_ of that viscus; we are more properly in some instances to
refer it to the action of the fluid _retained in the vessels_ which had
secreted it.” If this be admitted as a correct explanation of the fact,
we shall cease to have any difficulty in accounting for the dissolution
of other parts of this viscus besides the large end. We shall learn that
the part acted on must vary, according to the place of the stomach where
the gastric juice is retained in the apparatus which secreted it, and
thus we shall be enabled to explain some cases, which, at present, seem
to be in opposition to the observation of _Mr. Hunter_.
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