On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent depositsLee, Henry, M.D.
History
On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent deposits
Lee, Henry, M.D.
Blood; Veins -- Diseases
_Post-mortem appearances._ All the ventricles of the brain were dilated
with serum, and there was a good deal of effusion into the arachnoid
and pia mater. The viscera were perfectly healthy, except the heart and
spleen: the latter was very large, and on pressing it, a large quantity
of dirty red pulpy matter exuded. The lining membrane of the right
auricle and ventricle, when washed, had a dark red hue. The femoral
vein, just at the ingress of the saphæna, and the superficial vein in
the back of the leg, had their coats much thickened, so as to cut like
arteries. Their lining membrane was similar to that of the right cavity
of the heart. When they were divided, purulent matter, mixed with
thin light-coloured blood, escaped. The cellular tissue forming the
sheath of the femoral vessels, and on the calf of the leg, shewed marks
of recent inflammation; but there was no appearance of pus in these
situations. None of the glands in the groin or ham were enlarged. The
inferior vena cava appeared healthy.
E. CASES OF PURULENT DEPOSITS, CONNECTED WITH INFLAMMATION OF THE
VEINS AFTER DELIVERY, RECORDED BY DR. ROBERT LEE IN THE MED.-CHIR.
TRANSACTIONS.
CASE XXXV. Mrs. Mayhew, æt. 33, was delivered on the 2nd March 1829.
On the 5th, there was a discharge of blood from the uterus. From the
6th to the 20th, she made no complaint of uneasiness in any region of
the body, though her strength rapidly declined. The countenance was
of a dusky yellow hue. The heat of the surface slightly increased;
the respiration hurried, particularly on bodily exertion, and the
pulse above 130, and feeble; the tongue pale and glossy, with loss of
appetite. The lochial discharge had a peculiarly offensive smell. She
died upon the 28th of March.
_Post-mortem appearances._ When the uterus was laid open, there was
found to be a portion of the placenta, about the size of a nutmeg, in
a putrid state, adhering to its inner surface. The substance of the
uterus, to the extent of an inch around this, was of a peculiarly dark
colour, almost black, and as soft as a sponge. On cutting into it,
about a teaspoonful of purulent matter escaped from the veins, and a
small additional quantity was pressed out from them.... On opening the
capsular ligament of the right knee-joint, about six ounces of thin
purulent matter escaped, and the cartilages of the femur and tibia were
extensively eroded. There was no appearance of inflammation, however,
on the exterior of the capsular ligament. The right wrist was swollen,
and the cellular membrane around it was unusually vascular, and
infiltrated with serum.
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