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
The liver may present several morbid phenomena, which, in a dissection
instituted for the purpose of discovering the cause of death, ought not
to be overlooked. It may also be found ruptured, an occurrence which may
take place where little or no external injury can be perceived, as from
a sudden fall, or from the application of strong pressure applied to the
upper part of the abdomen, such as might be occasioned by the passage of
a heavy carriage over the body. _Morgagni_ relates several instances of
ruptured liver, by mechanical causes, without any considerable injury of
the integuments. In the _Medical Transactions of the College of
Physicians_,[35] a very interesting case is communicated by _Dr. George
Pearson_, of a young man who fell with his _right hypogastrium_ and
_epigastrium_, upon the edge of a pail, which he held in his hand, as
the sixth step of a ladder, upon which he was standing, suddenly broke;
his death happened ten hours after the accident, and upon dissection,
the right lobe of the liver was discovered divided, in an oblique
direction, through its whole substance, from its extremity on the right
side, to the border of the left lobe; the two portions being only
connected by the _vena cava_, and the trunks of the _venæ cavæ
hepaticæ_.
The author has been informed by _Dr. Harrison_ that, while at _Mantua_,
he saw a man who had received a kick on the right _hypochondrium_ from a
horse that he was shoeing; he did not complain of much pain at the time,
but exhibited an anxious countenance, and was attacked with
_coffee-ground_ vomiting. He died on the following day, and upon opening
the abdomen the liver was found ruptured, and the peritoneum
inflamed.[36]
The spleen may be brought into view for our examination by drawing the
stomach towards the right side, when the one viscus will follow the
other. This organ, like the liver, may be ruptured by violence; of which
we have already cited an instance[37].
The _pancreas_ is to be seen by tearing through the great omentum,
between the large curve of the stomach, and the arch of the colon. The
anatomist will proceed to the examination of the remaining structures in
the abdomen with a facility that renders any farther directions
unnecessary; we have only to repeat that in cases of forensic interest,
the inspection cannot be too minute. The appearance of the kidneys,
although not generally an object of dissection, ought to be noticed, as
it is frequently connected with the exhibition of poisons; like the
other solid viscera too, the kidneys may be ruptured by external
violence, and several instances are recorded of sudden death having been
thus occasioned.
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account