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
The external appearance of the body is commonly natural. In one instance
the cellular tissue was distended with gases ten hours after death.[415]
Violent marks of irritation have been commonly found in the stomach; and
sometimes that organ has been even perforated.[416] It is probable that
the extensive destruction of the coats noticed by some authors has taken
place in part after death from the action of the acid on the dead
tissues.—The usual conjunction of morbid appearances is well described
by Mr. Hebb. The mucous coat of the throat and gullet looked as if it
had been scalded, and that of the gullet could be easily scratched off.
The stomach contained a pint of thick fluid. This is commonly dark, like
coffee-grounds, as it contains a good deal of blood. The inner coat of
the stomach was pulpy, in many points black, in others red. The inner
membrane of the intestines was similarly but less violently affected.
The outer coat of both stomach and intestines was inflamed. The lining
membrane of the windpipe was also very red.—The appearances have also
been excellently described in the case published by Mr. Alfred Taylor.
The inside of the gullet was pale, as if boiled, strongly corrugated and
brittle, and covering a ramification of vessels filled with consolidated
blood. The stomach presented externally numerous vessels in the same
state; and its villous coat was pale, soft, brittle, but here and there
injected with vessels. The duodenum and part of the jejunum were red,
the other intestines natural, the liver, spleen, and kidneys congested.
The stomach contained a brownish jelly, in which gelatin was detected,
as well as oxalic acid. The blood was fluid every where except in the
vessels of the gullet and stomach.[417] The consolidated condition of
the blood there was evidently owing to the local action of a strong
acid, and is the same with what has been observed in poisoning with the
mineral acids.—In Mr. Frazer’s patient the whole villous coat of the
stomach was either softened or removed, as well as the inner membrane of
the gullet, so that the muscular coat was exposed; and this coat
presented a dark gangrenous-like appearance, being much thickened and
highly injected.
Although these signs of violent irritation are commonly present, it must
at the same time be observed, that some cases have occurred where the
stomach and intestines were quite healthy. In a girl who died about
thirty minutes after swallowing an ounce of the acid, no morbid
appearance whatsoever was to be seen in any part of the alimentary
canal.[418] In the case of a girl, described by Mr. Anderson, where
death took place in twenty minutes, there was no appearance but
contraction of the rugæ of the gullet and stomach, one spot of
extravasation in the latter and doubtful softening of its villous
coat.[419]
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