Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
Science
Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
supper; her illness did not begin till past six next morning; the
symptoms were mortal coldness, fainting, general pains, headache, pain
in the stomach, purging and colic, without vomiting, and she died after
twenty-four hours’ illness; the morbid appearances were general redness
of the stomach, softening and pulpy destruction of a third part of its
posterior parietes, and nevertheless the presence in the stomach of a
pint and a half of fluid matter, containing evidently the remains of
soup taken by the woman after she felt unwell. On the decision of the
Parisian faculty the prisoners were discharged; and the original
reporters were deservedly handled with great severity in several
publications that appeared not long after.[218]
_Of perforations of the Gullet and Intestines from natural causes, and
their distinctions from those produced by poisons._—The intestines, and
sometimes even the gullet, may be perforated by the same erosive or
solvent process as the stomach. Thus Mr. Allan Burns observes, that in
four plump children, whose previous history he could not learn, he found
every part of the alimentary canal, from the termination of the gullet
down to the beginning of the rectum, reduced to a gluey, transparent
pulp, like thick starch. The bodies were quite free from putrefaction;
but the abdomen exhaled a very sour smell when opened. No other organic
derangement could be detected.[219] The particulars of a similar case,
with an account of the symptoms, have been lately published by Mr.
Smith, a London surgeon. In the body of a child who died of protracted
diarrhœa subsequent to weaning, the whole intestines, from the duodenum
to the sigmoid flexure of the colon, were found fourteen hours after
death gelatinous, semitransparent, and so soft and brittle that they
could not bear their own weight, but tore when lifted between the
fingers. The stomach and rectum were healthy.[220] I lately met with the
following instance, where the erosion clearly took place after death. In
the body of a girl who died within twelve hours of poisoning with
red-precipitate, the stomach and duodenum were found much inflamed, but
quite entire and firm three days after death. Eighteen days afterwards,
when I had an opportunity of examining these organs, their textures
remained firm everywhere, except a few inches below the pylorus, where I
found two apertures in the duodenum, each as big as a crown, and
surrounded by extensive jelly-like softening.
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