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
respiration hurried, with frequent cough; surface of body presenting a
peculiar yellow tinge. The conjunctiva of the right eye now suddenly
became of a deep red colour, and so much swollen, that the eyelids
could not be closed. On the day following, the left eye also became
red and swollen, the surface of the body was cold and clammy, pulse
140, extremely feeble, with great debility, and repeated attacks of
vomiting. From this date, the patient lived nearly three weeks, but for
the last fortnight the vision in both eyes was entirely destroyed.
_Post-mortem appearances._ The left pleural cavity contained upwards
of two pints of a thin, purulent fluid. The inferior lobe of the left
lung was of a dark colour, and soft in texture. In its centre, about an
ounce of thick cream-coloured pus was found deposited in its dark and
softened texture. This was not contained in any cyst or membrane, but
was infiltrated into the pulmonary tissue. The coats of the vena cava
inferior were considerably thickened; its whole cavity was occupied by
a coagulum, terminating above in a loose pointed extremity. The left
common iliac vein was plugged up, by a continuation of the coagulum
from the cava. The coagulum was continued beyond the entrance of the
internal iliac, which it completely closed, and terminated in a pointed
extremity about the middle of the external iliac. Neither the remainder
of the vessel, nor the femoral vein, exhibited any morbid changes.
The right common iliac vein was contracted to more than one-half its
natural size; it was firm to the touch, of a greyish blue colour; to
its internal coat adhered an adventitious membrane of the same colour,
containing within it a firm coagulum. The internal iliac was rendered
quite impervious by dense, dark coloured bluish membranes; and, at its
entrance into the common iliac, it was converted into a solid cord.
The contracted external iliac contained within it a soft yellowish
coagulum; its coats were three or four times their natural thickness,
and lined with dark-coloured membranous layers. The right femoral vein,
from Poupart's ligament to the middle of the thigh, was diminished
in size, and almost inseparable from the artery. Its tunics were
thickened, and its interior coated with a dense membrane, surrounding
a solid purple coagulum strongly adherent to it.
F. CASE, SHEWING THE PERIOD AT WHICH A COAGULUM MAY GIVE WAY IN A
WOUNDED VESSEL.
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