Researches on phthisis, anatomical, pathological and therapeutical.
- Pierre Charles Alexandre Louis
- Date:
- 1844
Licence: Public Domain Mark
Credit: Researches on phthisis, anatomical, pathological and therapeutical. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![men. The stomach, almost twice as large as natural, filled a part of the left hypochondrium and reached as low down as the umbilicus; its mucous membrane, of yellowish brown colour throughout its entire extent, with the exception of a zone about one inch and two lines [3 centimeters] wide, close to the py- lorus, presented a moderate amount of consistence, but had lost half its natural thickness. The thickness of the membrane was even still less opposite certain whitish spots, of rounded form, about from one line to one and a half [2 to 3 millime- ters] broad, and pretty uniformly distributed in large number over the entire surface. The mucous membrane of the small intestine was in the natural state; that of the caecum and as- cending colon somewhat softened; while in the remainder of the large intestine it was as soft as mucus, but red only in the rectum ; there were no ulcerations.—Mesenteric and mesocolic glands healthy.—Uterus almost double the natural size; its cavity dilated; its internal surface blackish; its tissue more or less red, spongy and fragile; its walls were not thickened, except anteriorly, where they protruded inwards about one line [2 millimeters]. Ovaries somewhat softer and larger than natural.—The other abdominal viscera sound. The presence of a fragment of pulmonary tissue in the in- terior of a cavity is without doubt a very extraordinary circum- stance, and one which perhaps had not previously been observed. No question can be entertained, nevertheless, of the real nature of the substance described; for in respect of colour, consistence, structure, and fracture, it in nowise differed from pulmonary tissue. The deficiency of putrid smell shows that its complete separation from its attachments had not long been effected; and it is presumable that, for some time previous to its separa- tion, it had adhered to the rest of the organ merely by the two prominent portions of bronchi above mentioned. Here, in fact, were the only points of the paiietes of the cavity uncovered with false membrane; elsewhere this membrane exhibited the same structural characters in every direction; a fact indicating, no doubt, that the separation of the mass had been some time accomplished in every place except the two spots in question. There was another remarkable peculiarity in this cavity; I mean the circumstance of its lining membrane being in imme-](https://iiif.wellcomecollection.org/image/b21015235_0063.jp2/full/800%2C/0/default.jpg)
