Principles and illustrations of morbid anatomy : adapted to the elements of M. Andral, and to the Cyclopaedia of practical medicine, being a complete series of coloured lithographic drawings from originals by the author; with descriptions and summary allusions to cases, symptoms, treatment, &c. ... / by J. Hope.

Date:
1834
Catalogue details

Licence: Public Domain Mark

Credit: Principles and illustrations of morbid anatomy : adapted to the elements of M. Andral, and to the Cyclopaedia of practical medicine, being a complete series of coloured lithographic drawings from originals by the author; with descriptions and summary allusions to cases, symptoms, treatment, &c. ... / by J. Hope. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    lxx a gristly substance resulting from hypertrophy of the sub- mucous cellular tissue. The two coinciding points, e, e, formed the narrowest part of the stricture, which only allowed the introduction of a bougie one-third of an inch in diameter, in the direction d. The mucous membrane c, c, d was thickened, tumid, lumpy, and vascular, filling up the passage so as to prevent the descent of water through it by its own gravity, f is lax, vascular, adipose tissue in great abundance beneath the peritoneum g. The mucous membrane above and below the stricture is of brown colour from chronic inflammation. Case.—Mrs. Webb, Eet. about 40, at St. George’s Hospital, June, 1829, under Dr. Seymour; she was emaciated, and had had no alvine evacuation for a month. Intestinal tympanitis : severe bearing-down pains in the hypogastrium for two months ; obstinate constipation for two years. A consi- derable tumour was felt projecting into the vagina be- tween the cervix uteri and the rectum, and the same could be felt in the rectum. It suddenly disappeared when pressure was exercised upon it simultaneously per vagi- nam et rectum. 01. Croton. &c., had no effect, and enemata could not be forced above the obstacle, even with the aid of a stomach- pump tube. Increase of pain and tympanitis ; pulse very quick; anxiety ; incoherence ; death on the fifth day. Sectio.—The tumour felt per vaginam et rectum was the right ovary, as large as a kidney, which had probably been forced into that situation by the inflated intestines, and was driven back again by the pressure Avith the fingers. The intestinal obstruction was occasioned by the stric- ture delineated in the Fig. seated about ten inches up the gut. Fig. 178.—Hypertrophy of all the coats of the stomach :—a, the mucous coat; h, c, vascularity under it; d, submucous