File:The Medical and Surgical History of the War of the Rebellion. Part II, Volume I. (2nd Medical volume) (1879) (14576033839).jpg

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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of asmooth central cicatricial area or line, from the margins of which branching cicatricial ridgesradiate and entangle the adjacent glands of Lieberkuhn in their meshes. On the left ofthe accidental cut in the lower cicatrix there is an area of mucous membrane of some extent,which is thickened and deformed by these cicatricial ridges. Such areas represent portionsof mucous membrane adjacent to the original ulcers, which, however, were not destroyed bythe ulcerative process. The site of the original ulcers is indicated by the central cicatricialarea or line, the size of which, however, is many times smaller than the original loss ofsubstance. Between the cicatrices may be seen some forty or fifty small oval or circulardepressions, looking as though cut out of the mucous membrane by a punch ; they are alsobhown, though less distinctly, in the previous plate, and are in fact tiny follicular ulcers.These probably represent a slight recent intestinal catarrh accompanying the fatal pleuro-
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SKOT. IV.) • MORBID ANATOMY. 453 pneumonia, as often happens in such cases. The statement in the report that the patienthad no symptoms of any abdominal disease while in hospital, must be received withreserve, since the reporter was not the attending physician, and no record of symptomsand treatment was kept, at the time, in the almshouse in which this man died. In this connection I may also refer to specimens Nos. 922 and 923, Medical Section,which are portions of the colon from a case of diphtheritic dysentery reported in the lastsection, (case 874.) Each presents several large irregular granulating ulcers, and of theseone in each piece particularly well illustrates the healing process. The excavation made bythe ulcerative process in these ulcers has been filled nearly to the surface with granulation-tissue; the edges of the ulcer appear already to have considerably approximated, and thesurrounding mucous membrane is a good deal puckered. It is easy to see that, had theprocess con

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