Surgical experiences : the substance of clinical lectures. / By Samuel Solly.

  • Samuel Solly
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Surgical experiences : the substance of clinical lectures. / By Samuel Solly. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

    610/676 (page 594)
    LECTUEE LII. On a Case of Absorbent Inflammation. Gentlemen,—In my last clinical lecture I took the opportunity of addressing to you some remarks on purulent absorption, illustrating them with the histories of three or four cases of the disease which had been under my care at the time. I explained to you how a vein, wounded either by accident or operation, is, under usual circumstances, plugged up by a coagulum, which serves as a barrier to the entrance of the morbid pro- ducts of inflammation into the circulation; and how, when this barrier was broken down by accident, or in consequence of some dyscratic condition of the blood, was not properly formed, and thus ]3us was admitted into the vessels, there followed certain symptoms insi- dious in their character, and almost always, if not uni- versally, fatal in their result. To-day I have to speak of a disease having somewhat analogous symptoms; but happily, in most cases, much less dangerous in its nature, and much more amenable to treatment; I mean, absorbent inflammation—inflammation of the lymphatic vessels and glands. This, like purulent absorption, is frequently ushered in by severe rigors, and arises from some mechanical injury offered to a part where inflam- matory changes were previously going on. Like this disease, also, it frequently gives rise to the formation of pus in parts at a considerable distance from the original injury. But here the resemblance ceases. In phlebitis the local mischief, though sufficiently great, is yet the least part of the evil we have to encounter. The blood circulating through the vital organs of the body, carries