Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
The questions may be asked--(1) Is it a fœtus?--(2) Is it a mole? If
so, is a mole also a fœtus?--(3) Is it merely the coats of the uterus,
and unconnected with pregnancy?
1. _Is it a Fœtus?_--The development of the fœtus is given on pp. 35,
36 _et seq._
2. _Is it a Mole?_--This question gives rise to another: Is a mole a
fœtus? To this the answer must be in the affirmative. Moles, being the
diseased appendages of the fœtus, vary in character, and have been
described by obstetrical writers under the following heads: (_a_)
Hydatiginous; (_b_) Carneous; (_c_) Fatty Moles.
(_a_) _Hydatiginous Moles_ are a result of a
diseased condition of the villi of the chorion. The
villi become dropsical, and hang in masses like a bunch
of grapes.
(_b_) _Carneous Moles._--These are the result
of hæmorrhage into the chorion. The blood becomes
organised, and a fleshy mass is formed, to which in some
cases a withered fœtus is attached.
(_c_) _Fatty Moles._--Death of the fœtus and fatty
degeneration of the placenta, or fatty degeneration
of the placenta and death of the fœtus, produces this
variety of mole. A withered fœtus with a mass of fatty
placenta are expelled.
3. _Is it merely the Coats of the Uterus, and unconnected with
Pregnancy?_--Fleshy masses may be expelled from the womb, which may
not be the result of sexual intercourse. The description just given of
true moles will, it is hoped, assist in forming a correct diagnosis.
Considerable care will be required, for the honour of the woman accused
depends upon the opinion given as to the nature of the substances
submitted for examination. It must also not be forgotten that moles may
be retained for many months in the uterus and be then expelled. The
knowledge of this fact may rebut an accusation of infidelity against
a wife. Polypi may be discharged from the womb; the presence of a
pedicle will point to their true character. All substances expelled
from the uterus should be carefully washed in water, and all clots
removed. The examination of the woman may also help in the formation
of the diagnosis. The absence of the signs of defloration or of recent
delivery will be in her favour.
2. =Examination of a Woman stated to have aborted.=--This subject may
be divided under two heads--(1) Has the woman been recently delivered?
(2) What were the means used to procure the abortion?
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