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 cavity may also enlarge and contain a _polypus_, which is a very
common disease at middle or advanced age; it has been defined “a
diseased mass, which adheres to some part of the cavity of the uterus,
by a kind of neck, or narrower portion.” An attempt was made on the
trial of _Charles Angus_ to explain the appearance presented by the
uterus of _Miss Burns_, upon the supposition of an _hydatid_ having been
recently ejected from it, (_see vol._ i, _p._ 254.) Water has been known
to have accumulated in very considerable quantities in the cavity of the
uterus,[38] in some cases to the amount of fifty, sixty, or even a
hundred pints.
If a woman die from hemorrhage, or from any other cause in child-birth,
the appearances that will present themselves on dissection have been
thus clearly described by _Professor Burns_.[39] “The uterus is found
like a large flattened pouch, from nine to twelve inches long; the
cavity contains coagula, or a bloody fluid, and its surface is covered
by the remains of the decidua. Often the marks of the attachment of the
_placenta_ are very visible. This part is of a dark colour; so that the
uterus is thought to be gangrenous by those who are not aware of the
circumstance. The surface being cleaned, the sound substance of the womb
is seen; the vessels are extremely large and numerous; the fallopian
tubes, round ligaments, and surface of the ovaria, are so vascular that
they have a purple colour. The spot where the ovum escaped is more
vascular than the rest of the ovarian surface. This state of the uterine
appendages continues until the womb has returned to its unimpregnated
state. A week after delivery, the womb is as large as two fists; at the
end of a fortnight, it will be found about six inches long, generally
lying obliquely to one side; the inner surface is still bloody, and
covered partially with a pulpy substance like decidua. The muscularity
is distinct, and the orbicular direction of the fibres round the orifice
of the tubes very evident. The substance is whitish. The intestines have
not yet assumed the same order as usual; but the distended cæcum is
often more prominent than the rest. It is a month, at least, before the
uterus returns to its natural state, but the os uteri rarely, if ever,
closes to the same degree as in the virgin state.”
Public-domain text, read in full here on John Shaqi.
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