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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    CHAPTER III. ORGANS OF DIGESTION. SECTION I. PHARYNX AND (ESOPHAGUS. The pharynx and oesophagus were almost always in the natural state. Among one hundred and twenty subjects^ four only presented any lesion of the pharynx; in these instances the part was the seat of numerous small ulcerations, very uniformly scattered over the whole surface of the mucous membrane, which was itself somewhat thicker than natural in the interspaces between them. (Cases xxi, lii.) The same number of individuals supplied six examples of ulceration of the (esophagus. In one of these cases there was only one ulceration; it measured about five lines [10 millime- ters] in diameter, and was placed in the middle part of the organ; an extremely delicate lamina of cellular tissue formed its fundus,whereas the mucous membrane was thickened around, and lined with a layer of cellular tissue, separated from its at- tachments to an extent of about two lines [4 millimeters]. In the other cases there was a great number of ulcerations, and these, for the most part, very small, superficial, and wearing the appearance of having been made with a punch. (Case xxxviii.) I have pretty frequently seen the internal surface of the oesophagus invested with a sort of detritus, or kind of pseudo- membrane, resembling the pultaceous patches so frequently developed in the mouth,—patches to be hereafter spoken of again. IH these cases the epidermis of the oesophagus had disappeared, and its mucous membrane exhibited no change of colour, consistence, or thickness. (Case liti.) The lower part of the oesophagus was softened and attenuated in three subjects; and this morbid change, Avhich affected all its tissues, existed in the stomach also.