Identifier: MSHWRMedical2 (find matches)
Title: The Medical and Surgical History of the War of the Rebellion. Part II, Volume I. (2nd Medical volume)
Year: 1879 (1870s)
Authors: U.S. Army Surgeon General's Office
Subjects: Civil War military medicine Medicine, Military -- History United States Medical care United States -- History Civil War, 1861-1865 Medical and sanitary affairs
Publisher: Otis Historical Archives, National Museum of Health and Medicine
Contributing Library: U.S. Army Medical Museum

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ociatedwith ulceration of the small intestine, was observed in cases 277, 431 and 870; case 454,in which the mucous membrane of the ileum for twelve inches from the ileo-csecal valvewas thickened, inflamed, ulcerated and almost gangrenous in many places, was probablyof the same nature. Assistant Surgeons McGill and Allen in several of their autopsies speak of the smallintestine as being thin, extremely thin, or dilated and thin: cases 333, 350, 351, 355 and381 are examples. In case 387 Assistant Surgeon Allen remarks that the small intestine,which was anaemic, with conspicuous solitary follicles, had an ironed-out appearance.In case 86 there was an intussusception about eight incheslong in the small intestine; incase 505 there were two intussusceptions in the ileum. In case 316 a cul-de-sac projected * Circular No. ti, 8. O.O., Nuv. 1, 18G5, p. 146. A i>orUou uf the ileum of the patient is represented iu a chrumu plate facing the rage cited; heis said to have died of typhoid fever.
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f Mora: SECT. TV.; ANALYSIS OF AUTOPSIES UNDETERMINED CASES. 525 from the ileum opposite its mesenteric attachment and sixteen inches above the ileo-ccecalvalve. In case 398 it is stated that Brunners glands in the duodenum were enlarged, andin case 809 that the follicles of the duodenum were prominent. The presence of gas in the intestinal canal appears seldom to have attracted attention.In cases 145, 281 and 645 it is stated that the intestines wTere distended with gas; in case363 that the intestines, especially the colon, were so distended; in case 134 that the trans-verse colon was distended with gas; in case 355 that the ileum and csecum were dilated;in case 350 that a small portion of the jejunum was dilated. Of course, the intestineswere much more frequently distended than this would indicate, but the circumstance doesnut appear to have been thought worthy of record. In many of the cases the condition of the stomach is not recorded. It is spoken ofas congested or inflamed in ab

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