On visceral hæmorrhages in stillborn children : an analysis of 130 autopsies being a contribution to the study of the causation of stillbirth / by Herbert R. Spencer.

  • Herbert Ritchie Spencer
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: On visceral hæmorrhages in stillborn children : an analysis of 130 autopsies being a contribution to the study of the causation of stillbirth / by Herbert R. Spencer. Source: Wellcome Collection.

    27/130 (page 225)
    Case 60.—M., 8f lbs., 21 in.—Semmdipara, aged 34; last child seven years ago ; flat pelvis (3| in. true conjugate) ; slight hydrocephalus ; circumference of head above orbits lof in. ; occipito-mental diameter in.; occipito-frontal in. ; biparietal 4^ in. ; forceps (two applications) ; version, strong traction ; child just alive when born. (Edema of scrotum ; testes cgd. Three forceps marks on scalp ; deep bruising of skin over R. frontal bone ; abrasion behind R. ear. A few hges. in thymus. B. pleura contains a drachm and a half of blood-stained fluid. Lungs generally cgd.; down the posterior surface of R. is a line of hge. j in. wide; there is also hge. at under surface of R.; hge. into apices of both lungs. Spleen cgd.; 5] of fluid in tunicas vaginales. R. supra-renal is covered for a space of 1^ in. x 1g in. by a layer of black blood which has escaped through a laceration in the cap- sule and its peritoneal investment. In the scalp, over both parietal bones, and over R. frontal bone is a thick layer of blood; hge. into R. temporal muscle. R. frontal bone is fractured immediately under the bruise in the skin (forceps), and the dura mater is congested beneath the fracture. There is also a fracture of the roof of the R. orbit, and the dura mater is filled up from the bone by 3] of blood. There is hge. into R. Sylvian fissure and over both temporo-sphenoidal lobes. Tentoria and falx black with extravasated blood. About 3ij °f blood- stained fluid in the ventricles. Cerebellum and medulla cgd. A drachm and a half of blood lias escaped from the ruptured supra-renal into the abdomen. Case 61.—M., 5 lbs., 18£ in.—Natural vertex presenta- tation ; child died convulsed three hours after birth. Head and face cgd.; nails black. Liver much cgd. ; three small hges. on upper surface. Spleen much cgd. ; hge. into it in places. Kidneys cgd. Supra-renals dis- tended with fluid blood. Slight superficial hges. on sur- face of pulmonary artery. Slight hge. beneath pericranium of parietal bones (upper parietal bones very thin).