. Manual of antenatal pathology and hygiene : the foetus. a very small proportion of and hydropericardium were also very common; and iua few instances hydrocele and hydrocephalus existed. The appear-ances presented by the viscera were far from uniform, and indeed GEXERAL F(KTAL DROlSY 293 varied within wide liiuits; but the most fi-e(jueiitly recorded char-acter was a general bloodlessness (, of the liver, brain, heart, andthvmus). Furtlier, in a few cases, disease or malformation of theheart was noted; in Virchows case (loc. cit.) there was transpositionof the great


. Manual of antenatal pathology and hygiene : the foetus. a very small proportion of and hydropericardium were also very common; and iua few instances hydrocele and hydrocephalus existed. The appear-ances presented by the viscera were far from uniform, and indeed GEXERAL F(KTAL DROlSY 293 varied within wide liiuits; but the most fi-e(jueiitly recorded char-acter was a general bloodlessness (, of the liver, brain, heart, andthvmus). Furtlier, in a few cases, disease or malformation of theheart was noted; in Virchows case (loc. cit.) there was transpositionof the great vessels, defect in the interventricular septum, and signsof fcetal endocarditis; in Lawson Taits {Trans. Ohst. Soc. Load., , 1876) there was a closed state of the foramen ovale withwide patency of the ductus arteriosus ; and in E. Potts (Jahrb. , xiii. 11, 1879) there was persistence and stenosis of thetruncus arteriosus communis. A diaphragmatic hernia, leading, itwas supposed, to compression of the inferior vena cava, was noted by. Fic. 31.—Giiieral Dropsy of the Fiftiis. C. Behm { GeburtsJi. u. Gyndk., ix. 197, 1883). Signs of peri-tonitis w^ere found in six cases (out of sixty-five): it was thereforerelatively uncommon, for the presence of fluid in the peritonealcavity could not of itself be taken to imply inflammation. The liverhad no constant appearances ( large, small, anicmic, congested, soft and friable, firm and cirrhotic ); and the spleen varied inmuch the same way. In some cases the kidneys appeared normal tothe naked eye, in others they were finely granular, in others theywere the seat of cystic degeneration, and in others they were small,soft, and pale ; but in most of the records no description at all is givenof them. The intestines were generally small, contracted, and wnth ashort mesentery. There was a uterus septus with vagina duplex in oneof E. HiJncks dropsical fcstuses (Dissert., Kiel, 1887); and in a fewcases it was noted tha


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