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.
156/616
![softened or even partly evacuated. These were much fewer in the lower lobe^ and none of them softened; here almost all of them were surrounded with hepatized tissue.—On the riyht side the lower lobe was somewhat engorged^ and contained no tubercles; the upper contained fewer (all of them in the crude state) than the same part of the left lung. There was no trace of gray semi-transparent matter in either lung.—Bronchi of a uniform pale pink colour.—Heart small and healthy; aorta natural. Abdomen. The stomach contained a great deal of green bile and a little thick tenacious mucus; mucous membrane yellow and very soft in a small portion of the fundus; along the great curvature^ over an elongated surface, measuring from eighteen to twenty inches [45 to 50 centimeters] it was mam- millated, reddish, and grayish, more than half a line [1 miUi- meter] thick, and appeared evidently more prominent than the surrounding parts; elsewhere it was perfectly healthy.—Mucous membrane of the small intestine in good condition in its upper third; presents transverse ulcerations in the middle third; and longitudinal and elliptical ones (like the patches of Peyer, of which they occupied the seat) in the lower. The transverse ulcerations did not circumscribe the intestine completely; measured one inch and two lines or one inch and six lines [3 or 4 centimeters] in width at their central part, and were more or less contracted at their extremities; here the mucous membrane was completely destroyed, and the surface of the ul- cerations very uneven, in consequence of partial thickening and destruction of the corresponding submucous tissue. Their cir- cumference was prominent, of reddish and yellowish colour, from the presence of a rather considerable number of softened tubercles in the substance of the submucous tissue. Externally, the part of the intestine corresponding to these ulcerations, of more or less grayish and violet colour, exhibited inequalities of surface arising from tuberculous granulations placed between the peritoneal and muscular coats. The mucous membrane had not disappeared from the entire surface of the longitudinal ul- cerations. The surface of these was uneven in the same manner as of the preceding sort, and for the same reason; and also m consequence of the presence of bands crossing tliem, formed of jundestroyed mucous membrane. Between the ulcerations this](https://iiif.wellcomecollection.org/image/b21513235_0156.jp2/full/800%2C/0/default.jpg)
