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PECULIAR INTESTINAL CONCRETION.
26 Mr. Turner. In one case violence had been done to the arm; from which mortification ensued. The same condition of the artery as in Mr. Arnott’s case, he (Mr. Phillips) believed was present. The other case was similar. Mr. ARNOTT was acquainted with Mr. Turner’s cases ; in them the inner coats were
actions, by
knowledge went, perfectly unique in some particulars. They were cases of a peculiar kind of disorganisation of the heart, result. ing from acute inflammation connected with rheumatism. It was known well, that in
torn irregularly, not simply, divided, and inverted, as in his own case. An example
of spontaneous gangrene, i. e.. unconnected with external violence, had occurred in town, in which the same lacerated condition of the inner coats was observed, as in Mr. Turner’s cases. PECULIAR INTESTINAL CONCRETION.
articular rheumatism it was very common for some portions of the membranes of the heart to become inflamed; indeed, it had been calculated, that of cases of rheumatism of the joints occurring in London, at least one-third were complicated with some kind of cardiac inflammation, of which en. docarditis and pericarditis were the most In the two cases from which the common. preparations exhibited were taken, the inflammation had fallen upon the lining mem. brane of the heart, producing a peculiar disorganisation of the valves. In each instance there was a ragged perforation or destructive ulceration of one or more of the aortic valves. In both cases the muscular structure of the heart was diseased; in one instance there was ulceration completely through the septum, and in the other an abscess as large as a hazel-nut was found in the muscular structure of the septum. The history of both cases was very similar. They occurred in young women of twenty-one and twenty-two years of age. Both were sufferers from a first attack of acute articular rheumatism; both had suffered from acute pleurisy, but had been free from pericarditis ; one was ill three weeks, the other a month ; both cases occurred in the same month ; the sounds of the heart in both cases were altered, and there were palpitation and pain in that region. The cases were peculiar from the rapid disorgauisation which had taken place from acute inflammation, from their connection with acute rheumatism, from the muscular structure being involved, perforation of the septum, and abscess of the substance of the heart.
Dr. BRIGHT exhibited an intestinal concretion or calculus, chiefly remarkable from its being composed simply of phosphate of lime, surrounding a neucleus of faeces. The patient from whom it was taken was under the care of Mr. Stone, and was six The symptoms presented years of age. were those usually observed in faecal abscess ; there was a swelling on the right side of the abdomen, attended by gradual emaciation, and there was a discharge of pus and mucus, occasionally, from the bowels. In addition, however, to these symptoms, there was a discharge of puriform fluid from the bladder. The child died in twelve weeks after the first attendance of Mr. Stone. On examination, great suppuration was found at the caput coli, in which were two calculi; the one exhibited, which was about the size of a pigeon’s egg, and another about half the size. From the composition of the calculi, it was at first suspected that they were formed in the kidney, and had escaped by ulceration through the right ureter; careful examination, however, proved this opinion to be erroneous. The calculi were formed of successive layers of Dr. HODGKIN said, that there were three phosphate of lime ; the nucleus was a small four preparations in a collection with portion of fseces. la another instance, he had at one time something to do, under the care of the same practitioner, a number of calculi, of the same composition, similar to those brought forward by Dr. had passed away from the rectum with the Watson. In one case there was perforation of the semilunar valves of the aorta, but he feaces. Mr. ALCOCK remarked, that the phosphate did not know whether the patient had sufof lime calculus was usually the result of fered from acute rheumatism. In one case of acute inflammation of the chronic irritation of the mucous membrane of the bladder. Might not the intestinal lining membrane of the heart, connected irritation account for the formation of the with rheumatism, a deposit was found on the edges of the valves without perforation. bodies in the case under discussion? Mr. ERASMUS WILSON had in his posses- In another instance, which he had watched sion a portion of a colon in which there carefully during the last stage of the diswere a number of pouches containing cal- ease, and in which the physical signs culi, probably composed of the phosphate resembled those which are present in retroof lime. version of the aortic valves-the pulse remaining perfectly regular-a large aperDISORGANISATION OF THE HEART FROM ACUTE ture was found in one of the semilunar There was also a preparation of a INFLAMMATION CONNECTED WITH RHEUMA- valves. TISM. perforation of the mitral valve-he did not Dr. WATSON exhibited some specimens of know its history. He bad never seen pus morbid anatomy, which were, as far as his in the muscular structure of the heart. In ’
or
which
actions, by
knowledge went, perfectly unique in some particulars. They were cases of a peculiar kind of disorganisation of the heart, result. ing from acute inflammation connected with rheumatism. It was known well, that in
torn irregularly, not simply, divided, and inverted, as in his own case. An example
of spontaneous gangrene, i. e.. unconnected with external violence, had occurred in town, in which the same lacerated condition of the inner coats was observed, as in Mr. Turner’s cases. PECULIAR INTESTINAL CONCRETION.
articular rheumatism it was very common for some portions of the membranes of the heart to become inflamed; indeed, it had been calculated, that of cases of rheumatism of the joints occurring in London, at least one-third were complicated with some kind of cardiac inflammation, of which en. docarditis and pericarditis were the most In the two cases from which the common. preparations exhibited were taken, the inflammation had fallen upon the lining mem. brane of the heart, producing a peculiar disorganisation of the valves. In each instance there was a ragged perforation or destructive ulceration of one or more of the aortic valves. In both cases the muscular structure of the heart was diseased; in one instance there was ulceration completely through the septum, and in the other an abscess as large as a hazel-nut was found in the muscular structure of the septum. The history of both cases was very similar. They occurred in young women of twenty-one and twenty-two years of age. Both were sufferers from a first attack of acute articular rheumatism; both had suffered from acute pleurisy, but had been free from pericarditis ; one was ill three weeks, the other a month ; both cases occurred in the same month ; the sounds of the heart in both cases were altered, and there were palpitation and pain in that region. The cases were peculiar from the rapid disorgauisation which had taken place from acute inflammation, from their connection with acute rheumatism, from the muscular structure being involved, perforation of the septum, and abscess of the substance of the heart.
Dr. BRIGHT exhibited an intestinal concretion or calculus, chiefly remarkable from its being composed simply of phosphate of lime, surrounding a neucleus of faeces. The patient from whom it was taken was under the care of Mr. Stone, and was six The symptoms presented years of age. were those usually observed in faecal abscess ; there was a swelling on the right side of the abdomen, attended by gradual emaciation, and there was a discharge of pus and mucus, occasionally, from the bowels. In addition, however, to these symptoms, there was a discharge of puriform fluid from the bladder. The child died in twelve weeks after the first attendance of Mr. Stone. On examination, great suppuration was found at the caput coli, in which were two calculi; the one exhibited, which was about the size of a pigeon’s egg, and another about half the size. From the composition of the calculi, it was at first suspected that they were formed in the kidney, and had escaped by ulceration through the right ureter; careful examination, however, proved this opinion to be erroneous. The calculi were formed of successive layers of Dr. HODGKIN said, that there were three phosphate of lime ; the nucleus was a small four preparations in a collection with portion of fseces. la another instance, he had at one time something to do, under the care of the same practitioner, a number of calculi, of the same composition, similar to those brought forward by Dr. had passed away from the rectum with the Watson. In one case there was perforation of the semilunar valves of the aorta, but he feaces. Mr. ALCOCK remarked, that the phosphate did not know whether the patient had sufof lime calculus was usually the result of fered from acute rheumatism. In one case of acute inflammation of the chronic irritation of the mucous membrane of the bladder. Might not the intestinal lining membrane of the heart, connected irritation account for the formation of the with rheumatism, a deposit was found on the edges of the valves without perforation. bodies in the case under discussion? Mr. ERASMUS WILSON had in his posses- In another instance, which he had watched sion a portion of a colon in which there carefully during the last stage of the diswere a number of pouches containing cal- ease, and in which the physical signs culi, probably composed of the phosphate resembled those which are present in retroof lime. version of the aortic valves-the pulse remaining perfectly regular-a large aperDISORGANISATION OF THE HEART FROM ACUTE ture was found in one of the semilunar There was also a preparation of a INFLAMMATION CONNECTED WITH RHEUMA- valves. TISM. perforation of the mitral valve-he did not Dr. WATSON exhibited some specimens of know its history. He bad never seen pus morbid anatomy, which were, as far as his in the muscular structure of the heart. In ’
or
which