The Milan exchange. (Milan, Gibson County, Tenn.) 1874-1978, 1881-10-08

hood clot For about an inch from this cyst,
the track OF the bull behind the
pancreas was completely ohliterated by
tn healing process. Thence. IA far back
ward rs the body of the first lumbar
vertebra the track was lille with coaHulated
blood. which extended on the left into a regu-
lar space rent in tae a1joininR adipOs tissue.
. Behind the peritoncum and above the pan
creas the blood had worked its way to the left
burrowng finally through the pcrtoneum be-
. hind the spleen into the abdominal cavity.
The rendng of the tissues by the extrlN asa
tiOn of this blood was undoubtedly the cause
Of the paroNysms Of pain WI CD occurred Il
short time before dCatn. tn, mass of c,agIl-
lated blood was Of irregular form, and nearly
rs large as q mans fist 1t could be distinctly
seen from IN front, through the peritoueum
after its site behind the greater curvature of
the stomach had been exposed by the dissec-
ton of the greater omentum from the stom-
ach. and esI ecially after some delicate adj
hesions between the stomach and part of the
/ peritoneum covering the blood-mass had been
! broken down by the fingers.
/ From the relations of the mass, as thus seem
| II was believed that the hemorrhage had
| proceeded from one of the mcsenterc ante
ries, but, as it was clear that minute dissec-
/ ton would be required to determine the par
! ticular branch involved, 1t was agreed that
the inhllrated TISSUES and adjoining soft parts
should be preserved for subse Iuent study.
! On examination and ssection made in ac
! coIdance with this agreement, it was found
! that the fatal hemUrrhage proceeded from
/ rent nearly fOur-tenths of an inch long in the
main trunk of the spenic artery, two inches
and a half to the left OF the cuelac axis. The
| rent must haye occurred at least several days
before death, since the everted edges in the
slit in the vessel were united by firm adhesion
| n, h, nd
forming an almost continuous wall, bounding
the adjoining portion of the bic cd clot. More
over, the periphcra portion of the clot in this
vic n ty was disposed in pretty firm concentric
layers.
1t was further found that the cyst below the
lower margin of the pancreas in which the
bullet was found, was situated three inches
and half to the left of the cTlac axis.
Besides the mass of coagulated blood just
described, another about the size of a walnut
was found in the greater omentum, near the
! splenic extremity of the stomach. The COM
munication, If any, between this and the
larger hemorrhngic mass could not be made
| out.
The exam nation of the thoracic viscera
resulted as follows:
The heart weighed eleven ounces. All the
cavities were entirely empty except the right
ventricle, in which few shreds of soft red
D
surface. On the surface of the mitral valve
there were several spots of fatty de-
1 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 degeueru-
ton existed in the lining membranes of the
aorta, just above the semilunar valves, and a
slender eliot of fibrin was found in the aOrta,
where it was divided about two inches from
g .ly,Tt ~
On the right side slight peuritic adhcsions
existed between the convex surface of the
lower lobe of the lung and the cosral pleura,
and firm adhesiOns between the anterior edge
of the lower lobe, the pericardiurI, and the
diaphragm. The right lung weighed thirty.
two ounces. The posterior part OF the tissEre
between its upper and lower lobes was con-
genitally incomplete. The lower lobe of the
right lung was hypostatically congcStcd, ard
considerable portions, especially toward its
base, were the scat of the bron no pneumonia
The bronchial tubes contained cOnside a.
bic quantity of stringy mucOpus. Their
mucous surface was Redeemed by catarrhal
bronchitis.
The lung tissue was Tdematous.
IA footnote here says: "A part at least OF
this condition was doubtless due to the cX-
travasation of the injection fluid used 10y the
embalmer"
The lung tissue contained no assesses OF
infurcatons. On the left SIDE the lower lobe
of the lung was bound, behind to the coastal
plcura, above TO the upper lobe, and below
to the diaphragm, by pretty firm pleuritic adj
heSons.
The left lung weighed twenty-seven ounces.
The conditon of its bronchial tubes, and of
the lung tissue was very nearly the same rs
on the right side, the chief difference being
that the area of broncho-pncumona in the
lower lobe was much less extensive in the left
lung than in the right. In the lateral part of
the lower lobe of the left lung and about an
inch from its pleural surface, there W a
group of four minute areas of gray hepati-
cation, each about one-eighth Of an inch in di-
ameteT.
There were no infurcations, and no absc S.
es in any part of the lung tissue.
The surgeons assisting at the autopsy were
unanimously of the opinion that, on reviewing
the history of the case, in connection with the
autopsy, it is quite evident that the different
suppurating surfaces, and especially the tract
Gred spOngy tissue of the yertebra, furnish a
sufficient explanation of the septic conditions
which existed during life.
About an hour after the post morton exam.
nation was completed, the physicians named
at the commencement of this report assem-
blcd for further consultation in an adjoining
cottage. A brief outline of the results of tn
post-mortem examination was drawn up
silned by all the physicians and handed to
Private-Secretary J. Stanley Brown, who was
requested to furnish copies to the newspaper
press.
d. w. BLISS,
j. X. BARNES,
j. j. WOODWARD,
ROBERT REYBURN,
ID. s, LAMB.
AS the above report contains paragraphs
detailing observations made at Washington
on the pathological specimens preserved fo'