The Indianapolis leader. (Indianapolis, Ind.) 1879-1890, 1881-10-08
displaced, and several deep dss

extended from the track of the bullet into the
yertebra. Others extended through the first lum-
bar vertebra into the inter yer;ebrs cartilage and
second lumbar vertebra. Both this cartilage and
that next .t've were partly destroy ed by ulcera-
ton. number cf minute fragments from the
fragments OF The lumbar veriebla had been driven
into the adjacent soft part 1t was further found
that the right twelfth rib was also actured at a
point one inch and quarter to tie right of the
transverse process of the twelfth dorsal vertebra
This injury had not been recognized during
life. On saving through the yertebrdl a little to
the night Of the median line ii was found that
the SPINAL canal was not involved by the track of
the ball The spinal cord aud other contents of
this portion OF the spinal canal presents 10 alb
normal appearances. The rest of the spinal cord
was rot examined. Beyond the first lumbar
vertebra the bullet continued to go to the LETT.
passing behind the pancreas To the
poilt where 1t was found. Here
It was enveloped in a firm cTist of connective
minrte quantity of inspissated and somewhat
cheesey pus, which formed thin layer over a
portion of the surface OF the leed. There also
black shred adhering to that part of the cyst
wall which proved ON mlcroscoplcal examina
tion lie the remains OF blood clot. For abont
an inch from this cyst the track of the ball behi ID
the pancreas Was completely Obiiterated by the
healing process. Thence as far backward as the
body of the first lumbar vertebra the track was
filed with e1agulsted eSa ate, blood which
space rent III The adjoining adipose tissue behind
the peritoneum and above the psncreas. The
blood had worked its way TO the left, bursting
finally through the peritoDeum behind the spleen
and into the abdominal cavity The rendiug Of
the tissues by eXtrayasation OF the blood
douotedly the cause of the paroxysms of pain
which occurred shOIt time before his death.
This mass Of c, agulated blood was of irregular
form, and nearly as large man fist. 1t could
be distinctly seen from in front through the peri
toDeum after it's site behind the greater curvature
of the stomach had been exposed by dissection of
greater omentum from the stomach, and espec
tally after some deiicate adhesions between The
stomach and that part of the peritoneum covering
the blood mass had been broken down by the
tie fingers From ~ relations of OF the
licved that hemorrhage had preceded
from one of the mesenteric arteries. but il was
clear that minute dissection would be reauii ed
to determine particular branch involved. ii was
agreed that the infltrated tissues and adjoi lag
soft parts should be preserved for subsequent
study At an examination and dissection made
IN accordance with this agreement, it was
found that the fatal hemorrhage proceeded
from a rent nearly four-tenths of
she spenc apsry TN two ees and ha tx 6 o
left OF the caeliac axis. The rent must have oc
Cured at least several days before his DEATH
siuce the everted edges in the slit in the vessel
We're united by firm adhesois to the surrounding
connective tissue, thus forming an almost con-
tinuouswall bounding the adjoining portion of
portion @ 0'0o of ~ the 'eHe eot in e pneTa thls Vi
cinity was dispersed in pretty firm, con-
centric layers. It was further found that
in which the bullet was found, was situated three
inches aud half to the left of the celiac axis.
Besides the mass of cOagulated blood just de-
scribed another, about the size of walnut, was
found in the greater Omentum, near the spleDic
extremity of the stomach. The communication
sss coad nd the mot maSe
The examination of thOracic viscera
resulted as follows: The heart weighed eleven
cept the right ventricle, in which few shreds of
soft, reddish coagulated blood adhered to the |
internal surface On the surface of the mitral |
with this exception the cordlac valves |
were normal. The muscular tissue |
Of the hsst sDoys was Of S pe e
existed In the lining of the membrane OF the |
aOrta, just above the semi-lunar valves, and a
od aSoS e
valves for the removal of the heart. |
On the right slight pleuritic adhesions ex
lobe of the lung, and costai pleura and firm ad- |
hesiOns between the anterior edge of the lower
lobe Of the pericardium and the diaphragm. The |
ior part of the fissure between its upper and |
lower lobes was congenitally incomplete. The |
lower lobe of the right lung was hypostatically |
toward its base. were the seat of
bronchi pneumonia. The, bronchial tubes
conta ned considerable quantity of
reddened by by Cats Catarrhal bronchitis. Tne lung
tissue was pdematous. A foot note here says: |
Ra at least OF tbe this
injection fluid used by the embalmer, but
no assesses or infractionsl On the |
left side the lower lobe of the lung was bound |
behind to the COAL plura, above TO the upper
lobe. and below to the diaphragm by pretty firm |
pleurilc adnesions. TIE left lung. weighed |
twenty-seven ounces. The condition of |
its bronchial tubes and of the lung tissue was
very nearly the same the right side, the |
chief difference being that the of the brOnch-
IN the lower lobe was much less exten-
sve in the left lung than in the right The lateral
part of the lower lobe of the left lung and about
an inch from Its pleural sunace there WAS group
of four minute .areas of gray Repatriation, each
about one eighth of an iuch in diameter. |
any part of The lung tissue. The surgeons assist
ing at the autopsy were unanimously of the |
opinion that on reviewing the history of
the case I'm connection with the autopsy, it |
Is quito evident that different suppurating sur
faces. and especially fractured, spongy tissue of
vertebra furnish sho sufficient explanation
existed the durns septic fe Sboas an hoan
after the post mortem examination was com |
pleted, the physicians named at the commence |
ment of this report assembled for further consul
taton in an adjoining cottage. brief outline of
the results of the post mortem examination
was drawn Up, signed bv all the !
physicians, and handed to Private Secretary !. |
Stanley Brown, who was requested furnish |
copies ~ the newspaper press:
D. w. BLISS,
H ]. X. BARNES,
]. J. WOODWARD,
ROBERT REyBURN,
ID. s. LAMB
AS the above report contains paragraphs detail
Ing the observations made at Washington OH the
pathological specimens preserved for that pur.
pose, the names of Drs F. H. Hamilton, u. Hayes
Agnew and A II. Smith are not appended to 1t: J