. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. in criminal and accident cases in whichthere is no visible lesion of the abdomen. The sud-den appearance of this extensive hemorrhage in thehead and neck causes a dark-blue coloration of theskin, protrusion of the eyes, and a swollen andbloated appearance of the skin and mucous mem-branes. It occurs in cases of crush, run-over cases,and compression by machinery, and is due to backpressure on the valveless veins of the neck from com-pression of the thorax and abdomen, with rupture ofth
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. in criminal and accident cases in whichthere is no visible lesion of the abdomen. The sud-den appearance of this extensive hemorrhage in thehead and neck causes a dark-blue coloration of theskin, protrusion of the eyes, and a swollen andbloated appearance of the skin and mucous mem-branes. It occurs in cases of crush, run-over cases,and compression by machinery, and is due to backpressure on the valveless veins of the neck from com-pression of the thorax and abdomen, with rupture ofthe veins and infiltration of blood into the is no hemorrhage into the brain or its mem-branes. The fundus oculi is normal, as the intra-ocular pressure prevents extravasation of blood fromthe retinal vessels. The diagnosis is easy, and treatment consists onlyin rest in bed. Fig. 79 shows a case of congestive hemorrhage dueto compression of the thorax in a rolling mill. Thewhole face was colored dark purple and the mucousmembranes of the lips and nostrils were swollen. 164 Bockenheimer, big. 7Q. Petecliiae et Haemorrliagiae per comprcssionem. Rcbman Company, New-York. There was also subconjunctival effusion of the neck, the continuous purple coloration of theface was replaced by a brighter red coloration in theform of stripes (petechiie and ecchymoses). Thepetechise were situated over the shoulder and theupper part of the back; also in the auditory canaland the tympanic membrane. No visible lesion waspresent. The swelling of the face disappeared in afew days, and the purple coloration subsided in thecourse of time without any treatment. The discol-oration remained longest in the eyelids and con-junctiva. 165 HEMANGIOMA CAVERNOSUM SUBCUTAmEUM {Subcutaneous Cavernous Hemangioma)Plate LXn. Fig. 80. Fig. 80 shows a subcutaneous cavernous heman-gioma, which often occurs in the region of the rectusabdominis muscle, sometimes in the muscle h
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