Substance of the investigations regarding cholera asphyxia : with cases and dissections / communicated by Prof. Delpech, and Dr. Coste of Montpelier, and Dr. Lowenhayn of Moscow, during their residence in this country. To which are added, observations on the disease in Edinburgh, and the neighbouring districts.

  • Lizars, John, 1787?-1860
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: Substance of the investigations regarding cholera asphyxia : with cases and dissections / communicated by Prof. Delpech, and Dr. Coste of Montpelier, and Dr. Lowenhayn of Moscow, during their residence in this country. To which are added, observations on the disease in Edinburgh, and the neighbouring districts. Source: Wellcome Collection.

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    considerable quantity. The veins on the surface of the hemispheres of the brain were turgid with the same blood, and resembled those in apoplexy. Slight serous effusion between arachnoid and pia mater, especially anteriorly. The superior longitudinal, and all the other sinuses, were distended with the dark blood. When the brain was bisected, it presented numerous dark bloody points, indicative of great congestion, and was very firm in its structure. The natural quantity of serous fluid found in the ventricles; their vessels highly congested, especially the velum interpositum of Halier. Carotids and vertebrals gorged with the dark blood. The basis of the cranium, and anterior aspect of spinal canal, full of vessels congested with the dark blood—every trifling vein a large sinus. Considerable serous effusion within the theca verte- bralis. Veins on cerebellum and spinal cord in the vicinity of former organ, very numerous, and turgid with the blood. The same vascularity observable between the dorsal and lumbar regions of the chord. On tearing away the theca vertebralis from the vertebrae, the rachidian veins were turgid with blood, which, when pressed on, issued out like tar. Cerebellum peculiarly firm. Abdomen.—The peritoneal surface of the intestines, especially the ileum, was studded with vascular patches ; many points of this intestine highly vascular, and some approaching to a bluish green. A similar appearance, only more rosy, on caput caecum and jejunum. Intestines throughout coated with viscid lymph, evidently albuminous. About a couple of ounces of turbid serum in pelvic cavity. Urinary bladder contracted and pyriform. Omentum rosy red colour in several places. Colon of its natural size throughout, and also the rectum ; colon, near gall bladder, tinged with bile. There was the same offensive smell as in cases of peritonitis. Stomach of a rosy tint towards its pyloric orifice, with its blood-vessels arranged in patches. Mesenteric vessels moderately filled with the dark blood. Liver of natural colour; if any thing, inclining to yellow. Gall bladder very turgid with bile. Spleen natural. Stomach — mucous tunic rugous studded with rosy maculae, remarkably soft, breaking down under the fingers, with about four ounces of coffee-coloured fluid, as is seen in yellow fever. Duo¬ denum filled with ropy, biliary fluid ; the same continuous into jejunum, but becoming lighter and lighter along this viscus. Bile could be injected into duodenum by pressing on gall bladder. Bile, very dark coloured. Mucous tunic of jejunum studded with