Post-mortem examinations in medico-legal and ordinary cases : with special chapters on the legal aspects of post-mortems, and on certificates of death / by J. Jackson Clarke.

  • Clarke, J. Jackson (James Jackson), 1860-1940.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Post-mortem examinations in medico-legal and ordinary cases : with special chapters on the legal aspects of post-mortems, and on certificates of death / by J. Jackson Clarke. Source: Wellcome Collection.

    44/96 page 32
    mortem staining and digestion ' are looked for, and are to be carefully distinguished from inflammatory changes, such as are produced by arsenic or cyanide of potassium (see p. 55). Before removing the liver the portal vein in front of the foramen of Winslow should be examined by dissection. The liver may now be removed, the gall bladder and bile-ducts examined, and then the liver substance sliced by a series of parallel antero-posterior cuts. In removing the liver the small omentum and the structures in its free edge and behind this the inferior vena cava, the left lateral, the falciform and round hgament, the coronary and right lateral and the upper part of the inferior cava must be divided. In new-born ' Post-mortem digestion is most commonly observed in the stomach and lower part of the oesophagus. In the slighter forms it is evidenced by the removal of the epithelium and some staining about the small blood- vessels of the gastric mucosa. When the stomach has been full at the time of death the whole thickness of its walls at the fundus may have been digested, causing a post-mortem perforation. Such a perforation with its gelatinised indefinite edges can hardly be mistaken for a gastric ulcer, which has a well-defined and often thickened edge.
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