, 1881-10-02

,r,c,, extended on the left into regular
oo o,, in the adjoining adtpOsc TISSUE
ep .1a ,ba perjto,lcum hnd above the pancrcas
.1ood had .r.,rked its way 10 the left, bur
s-.-rinr hunlly through the pcratoneutn behind
49, splceu into tho abdo1n1ual cavity. Iho
tAo at,,,, ,f tho tissues by the extravnsaton Of
49,. t,,od was undoubtedly the cause Of the par-
....rs of pain which occurred a short time
before DEATH
.nd nearly RS large "a mans fist 1t
'.Id hc distinctly seen from In 'front.' through
~ ,ar;,oueu1c. after its site behind the greater
.~.at,,rr of the stomach had been exposed by
80 dissection Of the greater omentum from the
-o,,art. and especially after some delicate nd
ss1o,s between the stomach and part Of the
1a.tonru1u covering the biood-mass had bcen
t-ok.n down by the fingers.
1,-o,, the relations Of the mass. as thus secu.
=. ..as believed that the hesnorrhaEe had pro-
'..u,16 from one Of tho nescnteric arteries, but
-, vas clear that II minute dissection would
=. reo,,ircd to determine the particular branch
.,,,red it was agreed that the intiltrutcd
-.rrs and ad joining eUft parts should be pre-
-.er,ed for subsequent study.
-, examination and dissection made in nc
.o,dance with this agreement, 1t was found that
.ha fatal hculorrhage proceeded from reut
tn,nk of tho srlenc artery. two inches and Il
ha,f ~ the left Of the cerliac axis
The rent must have occurred at least several
srs 1tforc death. since the evertel edges in
.ho s};, in the vessel were united by firm adhc-
sim to the surrounding connective tissue.
,hus forming an almost continuous xal bouud-
inv the adjoining pornon of the blood clot-
narrower, the periphcral portion Of the clot in
this vicinity was disposed in pretty firm con-
centric layers
II vas further found that the cyst below the
,oxer margin of the pancreas, In which the bull
10, was found, was situated three inches and a
he,t TO the left Of the ctPlIac axis.
I,e.ides the ulass OF cOaCuatcd blood just de-
.cr;txd. smother about the size Of q walnut WIS
to,,nd in the greater omcntum, near the spleulc
extremity OF the stomach
The communication. If any, hetwcen this and
+ha larger hemorrhaEic mass could not he made
out
The examination Of the 1horacic visccra re-
suited as follows:
The heart weighed eleven ounces All the
cavities were entirely empty, except the right
rcntricle in which Il few shredS OF soft reddish
cosr,,lated blood adhered to the internal sur
face. Ql. the surface ct the mttral valve there
we're several spots Of fatty degeneration. With
This execution The corG1iac valves were normal.
The muscular tissue Of the heart WAS soft, and
tore easily.
i few spots OF fatty desenefaoon existed IN
the iiutns membranes Oh tne ao.ta- just anote
the scmiluoar valves. and slender clot of hbriu
was found IN 'he aorta. "ne1e II WAS u''1oeo
about two inches from lnese waves 1or Inc re-
rnoyal Of the heart
On the flsnt sue st'sul s'1eut't'e tauuce'ooo eA
isted between the convex surface Of the lower
lobe OF the lung and the costat pieura' ano urn
adhes'ons oet"een Inc auleF'oi eose VI lne to"
Ct lobe, the peflcafofufn' ano ane o1apnlaeu.
The rlent lung "eleaeo n'fts"t"o out'ceo'
The posterior part OF the insure between IT'S up
per anu lower looes WIS conseni'ats 1neooi-
pete -......
The lower iooo OF the right lung WAS nspostat-
tcaly conecstea' anu csusioe1aoie Pof fuone
especially towards It's pase' were lae Se' oA 'uo
broncno- pneumonia
The bronch1al tupes conta1neo c'usueFaoio
q1anutE VI stt'ues auueo-Fuo. 1ne't .4'
surface wis 1eoaeueo ~ e"!i' nA' ~
The lung tissue was teoe'natoue'
Ia foot-no{c here says. paft a. least VI
this couoit1on WIS DOUBTLESS uuc ~ eue eAti ava
sat1on OF tne 1uJecuou nu'o u9eu o5 eao eAo
balmer-1 .......
The lung tissue contained no anscesses VI 'n-
furcat,ons
i'm the left side. the lower lobe OF the lung
was bound. behind to the COSTA plenfa, ABOVE
to the upper lobe, and below to tho diaphragm,
by pretty firm pleuritic adhesous.
The lett lung weighed twcnty-seven ounces
The condition OF its bronchial tubes, and OF the
lung tissue. was very npnrly the SAME rs on the
right side, the Chief dinerencc ne'ne tnat tne
area OF broHcbo- pneumonia III tne lower 1ooo
WIS much less extensive in the LETT lung tnah III
the right
In the lateral part Of the lower lobe Of the
lett lung and about IN inch fro.u its pleural
eur1a.e, there was group of four minute areas
of .,rav h,.na,fza tion. each about onc-eiehth OF
~ t,,,.,, j., 1;,,,,ator
n" ,,"rl ..1 -. ;nf,,r-.;,ru md mn ascfscs
rh. . t',-.rcnrs ,ss;st,no At, tne a,,tonsv were
unanimously of the opiuion that, on reviewing
the history Of the case. in connection with tho
autopsy. it I. quite evident that the different
turpurating surfaces, and especially the tract
pre0 sl'ongy tissue of the Serteora' lurn'sn Il
sufficient explanation Oh rue sep1lc coauAnou'