The Jasper weekly courier. [volume] (Jasper, Ind.) 1858-1922, 1881-10-14

W|@ 49, #N***|M*** "
tn healing process. Thence. - far back
ward - shc body Of The nut lumbar
vcriebra. the track was nile VI b co~axulatcd
bleed. which exfcUicd on thc len into . rcxu-
lar space rent IN Z Z ADJOINING adipos tissue.
Hchind the p~crstoneum aud above the pan
crca< the blood had worked ~ way 20 the lcn.
b~urrowinx nnally through tho pcritoneum 10
hind the spleen Into the abdominal cavity.
The rcndins " the tissues by the extra, "a
tim q this blood was undoubtedly the cause
Of the paroxysmS ~ pain VII ca occurred !
short time before deatn. This mass Of ct,ag,i-
hated blood was ~ irregular form. and nearly
as large as 4 mans INST. II could be distinctly
seen from in frunt. thrs uxh tho pcriloncum.
nftcr rs site behind inc greater curvature OF
the stomach bad been exposed b. the disscc-
ton 81 the greater oinentum from the stom-
ach. and especially after some delicate nd
hes!ons between the stomach and part of the
pctitoncum covering the biood-ma<< had been
broken down by the nngcrs.
From the relations OF the mass. ne thus seen,
Il was believed that the hcmorrnage had
proceeded from one Of the mcscnicric aric-
Fies bur. ~ II was clear that . minute disco
tion ~cuid be rcquirci 70 determine tho par
ticular branch involved. Il was sereed that
the innltratcd tissues and adjoining SOFT parts
should Be preserved Tor subsequent study.
M AM GAAIUIII0kIMIt AIA u4H<E&IlNA lINN< III NJ
cordancc with his agreement. Il was found
that the fatal hcmorrhage proceeded from 4
rent nearly four-fcn,hs OF an Inch long IN the
main trunk OF the splenic artery. two inches
and Z half 70 the left ~ the cGliac axis. The
rent must have occurred ~ least several days
before death. since the everted edges IA the
Slit IN the vessel were united BY nrm adhesion
20 the surrounding connective tissue. thus
forming an almost continuous wall, bounding
the adjoining portion Of the blood clot. More
over. the periphcral portion Of the clot IN This
vic nifty was disposed IN pretty nrm conccntric
layers.
Il was further found that the cyst bclow the
lower margin Of the pancreas. IN which the
bullet was found. was situated three inches
ana 1 half 20 the left OF the crliac axis.
BESIDES the mass Of coaculated blood Just
described. another about the sire q : walnut
vas found in the greater omentum, near the
splenic extremity OF the stomach The com
munication. n any. between this and the
larger hemorrhagic mass couid not be made
out
The exam nation Of the shoracic viscera
resulted A. follows:
The heart weighed eleven ounces. All the
cavities were entirely empty except The right
ventriclc. in which = few shfeds of soft red
dish coagulatcd blood adhered TO the Internal
surface. On the surface OF the mit'ai waive
there we're several spots Of fatty de-
generation With this exception the
cardiac valves were normal. The mus
cular tissue OF the heart was soft. and
tore easily. A few spots Of fatty degencra-
ton existed IN the lin ng membranes 81 the
aorta. JUST above the semiiunar valves and q
slender ciot of MIR n was found IN the anrta,
where II was diyincd about TWO inches from
these valves Tor the removal Of the heat
on the right side slight pleuritic adhesions
existed between the convex surface ~ the
lower lobc Of the lung and the COSTA plcura.
ma arm adhcsIons between the anterior edge
II thc lower lobe. The percardium. and the
diaphragm. The right lung weighed n .rty.
two ounces. The ro~terior Tar' Of the 1sSurc
between IL upper and lower iobcs was con-
rcnitaliy incomplete. The over Lobe q INC
rirht lung was hyposfaf'caIly congc<tcd ard
considerable portions. especially towafd rs
b,<c. were tue scat or thc hron, no pncum mia.
rhc bronchial subcs contained " con~ifera-
bic quantity OF strinry mnco-pus. Thcir
mucous SUFFICE was rcddcned b catarrhal
bronchitis
The lung tissue was Udcmatous-
IA foot-note here says "A part a. least d
travasation 81 Inc Injection fuid used ~ the
e~mbalmcr-"1
The lung tissue contained no ahsccsece or
infnrcnfions. IN the left side. tho lower lobe
az the lung was bound. behind % the coastal
plsura. above 70 the uppcr lobe. and below
10 the diaphragm. BY pretty firm pleuritic ad-
hcsions.
The LEFT lnnr weighed twenty. seven ounces.
The condition 81 its bronchial tubes. and 81
the lung tissue. was very nearly the same %
on me right side. the chief difference being
that the area ~ bronchop pneumonia Tn the
lower lobe was much lees extensive IN Inc lcft
lung than IN the right IN the lateral part q
the lower lobe Of tie left lung. and about an
inch from lts pieural surface. there - : 4
group o. four minute areas of gray hepati-
cation. each about one-eixhth ~ m inch ia ~
ameter.
there we're no infurcations, and no absc ss-
e. III any part or the lung tissue.
The surgeons assisting at me autopsy were
unanimously Of the opinion that. on reviewing
the history or the case. IN connection with me
nufnpsy. II a quite evident that the different
suppurating surfaces. and especially the fract-
rrci sponry tissue Of h ycrtcbra, furnish a
suficirnf explanation " the septic CONDITION.
which existed during life-
About an hour after the post morton exam
~inafion was completed. the physicians named
Al the commencement ~ this report Assem-
blcd for further consultation in m adjoining
cottage. "A brlcf outline OF the results OF IN
-post-mortcm examination wa- drawn up
signed BY all the physicians and handed n
Private-Secrctary J. Stanley brown. who was
requested TO furnish copies 70 the newspaper
ID. w. Bliss.
y. X. BARNES,
~. WOODWARD.
RonERT RKYnERS.
DIS AMI.
AZ the above report contains rarnrraphs
detailing observations male AZ Washington
on the pathological specimens preserved foH
that purpose, the names ~ ms. Y. u. Hamii
ton. ID. Hayes Axnew and a. ~ Smitn nrc no'
appended "a Al. n ha~. however. heen sub
nn1rDd ~ fhn1n ma fhnN have nlNnn fhcIl