Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis.

  • Pierre Charles Alexandre Louis
Date:
1844
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Licence: Public Domain Mark

Credit: Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    a pale red tint. In certain instances I found it firmer and thicker tlian in the natural state. In some cases also small ulcerations, not penetrating completely through the mucous membrane^ were discernible. This mammillation exhibited itself in cases where the stomach had undergone considerable distension, as well as in others re- markable for the contracted state of the viscus. This simple fact shows that the appearance cannot be attributed to mechanical causes; and the attenuation of the membrane in the furrows, the iilceration and occasional thickening of its substance, with the almost invariable change of colour, are so many circumstances indicative of an actually morbid condition. The same circum- stances, to which we must add the mammillated appearance existing in cases were the mucous membrane was obviously in- flamed (Avhere, for example, the inflammation did not extend beyond the anterior surface of the viscus), appear to show that this state resulted from inflammation, ordinarily of slow type. At least it is fair to conjectm-e that such was its type, in con- sequence of the absence, or extreme insignificance, of attending symptoms and the gray discoloration commonly observed in the membrane,—a form of discoloration so usual in parts aff'ected with chronic phlegmasise, and around intestinal ulcerations. § 6. TJlcerations of the Mucous Membrane of the Stomach. Commonly small and few in number, these ulcerations existed in one twelfth part of the cases; they were associated, except in two instances, with some other morbid change of the mucous membrane of the stomach. In one of these instances a single ulceration only, about seven inches [18 centimeters] in super- ficial extent, existed. (Case xxix.) In the other the ulcera- tions were small, but eighty in number. (Case xiii.) In every instance but one, the mucous membrane had retained the same thickness, consistence, and colour around, as between, the ulcerations; so that they had the appearance of having been made with a punch. The exceptional instance referred to was supplied by an individual in whose stomach an ulceration with round edges, formed of red, softened, and thickened mucous membrane, existed in the neighbourhood of the pylorus: the other coats appeared in nowise remarkable.