Transactions of the Pathological Society of London Volume 12 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1861 Excerpt: ...was no external appearance of disease connected with the oesophagus, and there was no want of resonance to indicate any tumour within the chest. Before he had been in the Hospital a-week, he died in a very unexpected manner. During the night, (two A. M.) he felt a desire to relieve his bowels, and while making his way to the water-closet, he fainted. On his recovery, he passed a motion containing a considerable quantity of blood. At eight o'clock he vomited a little blood, but was, nevertheless, able to get up and wash himself. He remained without much further change till 10, when he somewhat suddenly fell into a state of syncope, and died. When the body was examined, it was found that there was a tight stricture of the oesophagus, about three inches below the orifice of the larynx. This would hardly admit the finger. For about three inches below this, the whole circumference of the tube was deeply ulcerated. In connection with this, was a large mass of encephaloid disease, which surrounded the great vessels at the root of the neck. The left subclavian artery communicated with the ulcerated surface by a small opening, just large enough to admit a common probe. Through this the fatal haemorrhage had taken place. A large quantity of blood was found in the stomach and intestines. Dr. Dickinson, 2nd of April, 1861. 21. Transverse laceration of the jejunum, from a blow on the belly, with complete division of the bowel; no effusion of its contents into tJie peritoneal cavity. A boy, aet. 12, while playing in Hungerford Market about three o'clock P.m., of March 3rd, 1861, fell from a height of twenty-five feet to the ground, another lad, about eight years of age, falling at the same time from the same height upon his belly. The lad was taken to King's College Hosp...