Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

234/440 (page 216)

glands are observed, while iu others who die on the 12th, 13th, 14th, and 16th, scarcely any morbid appearance i« detected-; in another, who dies on the 22ud, no less than forty-five, while in a seveiith, who dies on the 24th, only ten or eleven Peyer^s glands are obscurely visible. Again, if we consider the development of the glands, in reference to the day of death, we find that, of the first group, one died on the loth, another on the i ith day; of the second, one on the loth, another on the nth, a third on the 13th, a fourth on the 15th, and the remaining four, respectively,, on the 17th, igth, 24th, and 36th days; of the third, one on the iith, another on the 13th, a third on the 14th the remaining two on the 21st and 22nd days; of the fourth, three died, on the 12th, and the remaining three severally on the 13th, 14th, and i6th days. Thus two die on the loth and nth days with Peyer's glands distinctly elevated (in one of them to the extent of about half a line) ; they are scarcely discernible in four who die on the 12th and 13th days; while they are in a state of slight elevation in eight, who die on all different days between the loth and the 36th. Does this, I ask, look like the steady course of a constant lesion, depending upon a constant and specific cause ? The solitary glands were visible, in small number, in three cases; in one, in the small, in two, in the large intestines. I have, however, seen them very numerous, both in the one and the other, though they were never larger, and seldom so large as a pin's head. They were white, sometimes surrounded with a vivid red areola, and each had a small black point in its centre. The aggregate glands, situated on the free border of the gut, were of all sizes from two or three lines to two or three inches in length, and varied from a couple of lines to nearly an inch in breadth. They were sometimes white, sometimes greyish, sometimes slate-coloured, frequently dotted over with small black points, often reticu- lated, while sometimes neither the one nor the other appear- ance was noticed. It is a remarkable fact that, in several cases, the glands were much more numerous in the jejunum than the ileum, and that in two there were none near the ileo-csecal valve. Not unfrequently, the mucous membrane around them was pale, at other times they were situated amid