A case of calcification of the arteries and obliterative endarteritis, associated with hydronephrosis, in a child aged six months / by J.H. Bryant and W. Hale White.

  • Bryant, John Henry.
Date:
[1899?]
Catalogue details

Licence: Public Domain Mark

Credit: A case of calcification of the arteries and obliterative endarteritis, associated with hydronephrosis, in a child aged six months / by J.H. Bryant and W. Hale White. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    The necropsy was performed on June 21st, 1899, ten hours after death. There were no signs of decomposition. Rigor mortis was well marked. The body was very emaciated. There were no external signs of congenital syphilis. The toes were becoming gangrenous (vide diagram). The skin was shrivelled and had a dead black appearance. On the sole and dorsum of the right foot a red and inflamed looking area of skin was seen (vide diagram). The femoral artery could be felt as a thick and firm cord. The brain was healthy in appearance and all the cerebral vessels appeared quite normal. The cervical glands were not enlarged. The thyroid was healthy; the thyroid arteries were rigid, thickened, hard and nodular, and their lumina were much narrowed. There was no pleurisy. Several very small nodules could be felt in both lungs. On section they proved to be tubercles arranged in small groups of five or six. The larynx, trachea and bronchi were healthy. The bronchial glands were enlarged and caseous from recent tuberculous changes. There was no pericarditis. There was no fat on the surface of the heart. The coronary arteries were thickened, tortuous and hard, and their lumina were much narrowed. The right ventricle was slightly thicker than normal; there was no dilatation. The valves and endocardium were normal. The left ventricle and auricle were normal in appearance; they were not dilated, and the myocardium appeared to be normal. The endocardium of the left auricle at, and just above the attachment of the mitral valve was hard, thickened, nodular and gritty. This was particularly well marked on the posterior and outer parts of the auricle. The gritty nodules were very small and were arranged in lines in the long vertical axis of the auricle. A similar condition was found in the endocardium lining the left ventricle, especially in the lower part over the musculi papillares. The pulmonary arteries were a little thickened and a few small yellowish patches were found in the intima of some of the medium sized branches. The intima of the aorta just above its origin up to about 1 to 2 millimetres above the level of the free edges of the valves was rough and irregular and had a feeling of grittiness. The remainder of the aorta had a normal appearance and feeling,
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