Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis.
- Pierre Charles Alexandre Louis
- Date:
- 1844
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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![minished successively in the cjecum, the ascending colon, the transverse colon, and the rectum^in the proportions of 17,11,8,4. If next, in order to ascertain the sum of cases in which there were ulcerations in each part of the intestines, I add to these numbers those of ulcerations of the small variety, we shall leave for the csBcum, the ascending, the transverse, and the descending colon, and the rectum 34, 37, 25, 8, 33 cases of ulceration,— hence the number of individuals affected with this species of morbid change in the rectum and in the caecum was pretty much the same; but here the analogy between those two parts of the intestine ceased in respect of ulceration ; the difference was ex- treme between them, in regard of the size and number of ulcerations. When of small size these solutions of continuity were pretty commonly of rounded shape, and provided with flat edges, so that they appeared as if cut out with a punch : their fundus was grayish or blackish, more rarely of a pale pink colour; in the latter case they must frequently have escaped notice, had it not been for my invariable habit of carefully washing the bowel. The fundus was composed of the submucous tunic, thickened or reduced to a lamina of extreme tenuity,—sometimes (in three cases only) by the muscular tunic unchanged in character, —a condition which I did not observe in any instance of ulce- ration of the small intestine. Instead of being round, the small ulcerations, and those of medium size, were occasionally much elongated, measuring from above one inch and two lines, to two inches and four lines [3 to 6 centimeters] in length, by two to three lines [4 to 6 milli- meters] or less, in width; they ran under these circumstances, in a transverse, longitudinal, or oblique direction. These dif- ferent forms sometimes coexisted; and when the ulcerations were numerous, and closely set, and the inten^ening mucous membrane more or less thickened, the intestine had exactly the appear- ance, except in point of size, of a hand covered with large chaps. Ulcerations of the large class were of more or less irregular, denticulated, or stellate appearance; and implicated, in several cases, the entire circumference of the c£ecum, ascending and transverse colon, and of the rectum. Not only did thev thus pretty frequently encircle the cajcum, or ascending colon, but the same ulcerations often extended from one end to the other](https://iiif.wellcomecollection.org/image/b21513235_0126.jp2/full/800%2C/0/default.jpg)
