Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
In pursuing the track of the alimentary canal we have to observe whether
any marks of peritoneal inflammation present themselves; and whether any
signs of inflammation in the muscular or mucous coats are visible
through the transparent parietes of the intestine; and although no
appearance of this kind can be discovered on the external coat of the
bowels, we are not, on that account, to conclude that they have been
free from inflammation; we must persevere in our dissection, and slit
open the intestines in different parts, especially at the entrance of
the _ilium_ into the _colon_; the valve of the latter gut should also be
inspected; nor should the _rectum_ escape our attention, for its
extremity is sometimes inflamed together with the stomach, while the
intermediate portions of the canal are not in the least affected; this
peculiarity occurs in many cases of poisoning, as those, for instance,
in which colocynth or elaterium have been exhibited. An empoisoned
clyster may have been administered; or, as in the case of _King Edward_
II, a hot poker, or some other instrument thrust up the rectum. We
should also in this part of the dissection, ascertain whether any
_intus-susceptio_ has taken place, a derangement not very rare, and
frequently fatal; it consists in a portion of gut passing for some
length within another portion, and dragging along with it a part of the
mesentery; it may take place in any part of the canal, but it more
usually occurs in the small intestines, especially where the ilium
terminates in the _colon_; in the examination of infants an
_intus-susceptio_ is not unfrequently found, which had been unattended
with mischief, and in which the natural peristaltic motion of the
intestines would have easily disentangled them; but, in other cases, an
unrelenting obstruction is established, inflammation follows, and life
is soon terminated, as was exemplified in the case of the infant
Princess Elizabeth of Clarence.
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