. The medical and surgical history of the war of the rebellion. (1861-65). Prepared, in accordance with the acts of Congress, under the direction of Surgeon general Joseph K. Barnes, United States army . us to the cajcum. The tissues were deeply iuiiltrated, and not merely stained on the surfixce. There were also extensive adbe-suina of the ujiper part of the cajciun to the right iliac fossa, and around the perforations the intestine was glued to the wall of theabdominal cavity. Most of the adhesions wore quite strong, those around the perforations, however, were soft and easily torn.[Nos. 132
. The medical and surgical history of the war of the rebellion. (1861-65). Prepared, in accordance with the acts of Congress, under the direction of Surgeon general Joseph K. Barnes, United States army . us to the cajcum. The tissues were deeply iuiiltrated, and not merely stained on the surfixce. There were also extensive adbe-suina of the ujiper part of the cajciun to the right iliac fossa, and around the perforations the intestine was glued to the wall of theabdominal cavity. Most of the adhesions wore quite strong, those around the perforations, however, were soft and easily torn.[Nos. 132 to 137, Medical Section, Army Jledical Museum, are from this case.] Tbe specimens preserved in tliis case are a series of pieces of tbe colon, all of wbicbexhibit ulcers closely resembling in character those shown in tbe plate. In Nos. 132, 133,134 and 135, which are portions of the ascending and transverse colon, tbe ulcers are lessnumerous and less closely set than in Nos. 136 and 137, which are portions of tbe descend-ing colon; but in all of them a considerable part of the mucous surface of the colon hasbeen destroyed. The ulcers are for the most part oval in shape, with their long diameters. Heltotypt. Jamti R. Osgood ^ Co~, Boston. DESCENDING COLON WITH SLOUGHING PSEUDO-MEMBRANE. i^Reduced in size oru/ourth.)No. 97- MEDICAL SECTION. SiXT. MORBID ANATOMY. 451 transverse to tlie axis of the bowel. In tlieir central portions they expose the circularmuscular coat, while towards the edges they only penetrate to the submucous connectivetissue, so that for the most part they have bevelled edges, though in some places the edgesare abrupt or even overhanging. In this case, between a month and a half and two monthsonly elapsed from the commencement of the dysenteric attack to the fatal issue. The patienthad previously suffered a good deal from diarrhoea, but had been free from it for some timebefore the commencement of his last illness, which is to be interpreted as an acute
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