Mesenteric embolism and thrombosis : a study of two hundred and fourteen cases / James Marsh Jackson, Charles Allen Porter and William Carter Quimby.
- Jackson, James Marsh.
- Date:
- 1904
Licence: Public Domain Mark
Credit: Mesenteric embolism and thrombosis : a study of two hundred and fourteen cases / James Marsh Jackson, Charles Allen Porter and William Carter Quimby. Source: Wellcome Collection.
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![again collapsed and large doses of stimulants were necessary to obtain any reaction. From this time on he gradually failed and died at 3 p.m. Before death he had an involuntary move- ment and passed gas. After death about two quarts of dark brown fluid, smelling of stomach contents, flowed from mouth and nose. ‘The stomach had evidently not passed anything along for hours. Analysis of Urine.—Dr. J. Bergen Ogden, Harvard Medical School. Jan. 11, 1901. Urine in 24 hours small, specific gravity 103314, color high, amount of sediment considerable, reaction strongly acid, chlorids much diminished, urophein increased, E. phosphates much diminished, indoxyl much in- creased, alk. phosphates diminished, urea 1.84 per cent., uric acid increased, albumin very slight trace. Sugar present, 3.57 per cent. No acetone or diacetic acid. Bile pigments absent. Sediment, numerous granular and brown granular casts, some with renal cells, abnormal blood and little fat ad- herent. Numerous free renal cells, and a few blood globules. A few small caudate cells as from renal pelvis. We find this urine to contain sugar. The normal solids are all diminished excepting the uric acid. The indoxyl is very high, which is confirmatory of the diagnosis of intestinal obstruction. The chlorids, phosphates and urea are diminished, probably on ac- count of a low diet. The very low chlorids might also be con- sistent with a serous effusion. There is considerable disturb- ance of the kidneys, apparently of the nature of an active hyperemia, rather severe and probably due to a toxemia. There is also evidence of an irritation of the pelvis of the kidney, probably from the same cause. As to the meaning of the sugar, there may have been a diabetes mellitus antedating the present trouble. On the other hand, the sugar may be sec- ondary to the marked abdominal trouble. In the absence of previous history pointing to diabetes, the glycosuria should be considered secondary. AUTOPSY. DR. W. F. WHITNEY, HARVARD MEDICAL SCHOOL. Jan. 12, 1901, 18 hours postmortem. The body of a large man with abundant fatty tissue. Rigor mortis present. The body was slightly warm with marked lividity of the dependent portions. Head.—-Not opened. Pericardium.—Contained a normal amount of fluid. Heart.—Large. Weighed 400 grams. The valves were normal in appearance. The mitral valve measured 1] cm., and the tricuspid 13 em. The aorta showed numerous opaque, yellow and calcified patches on its inner surface. The open- ings of the coronaries were slightly obstructed, and there was a similar condition to that found in the aorta, but less ex- tensive throughout these arteries. The heart substance was pale.](https://iiif.wellcomecollection.org/image/b32766634_0014.jp2/full/800%2C/0/default.jpg)
