Gallstones during pregnancy and the puerperium / by Reuben Peterson.

  • Peterson, Reuben, 1862-1942.
Date:
[1910]
Catalogue details

Licence: In copyright

Credit: Gallstones during pregnancy and the puerperium / by Reuben Peterson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    fetus, the head and extremities of which can he easily felt through the wall. The head is in the lower right portion with the occiput anterior. The placenta was upper left posterior. Weight of uterus, 3300 grams; 27% cm. x 22 cm. X 9 cm. The uterus was opened in the median line and found to contain a male fetus in the late sixth or beginning seventh month. According to the measure- ments a six and one-half months’ fetus. Fetus: Measurements. Length, 37.5 cm.; bisacromial, 8.5 cm.; bitrochanteric, 7.3 cm.; cord, 50 cm.; finger nails, 0.3 cm.; bitemporal, 7 cm.; occipitomental, 11 cm.; occip- itofrontal, 10 cm.; parietal bones, cartilaginous plates, ossified in centre. Microscopical and Bacteriological Findings. Heart: Heart muscle shows slight hypertrophy, slight cloudy swelling and fatty degeneration, slight increase in fat tissue in epicardium. Lungs: Passive congestion. Localized emphysema. Edema. Numerous emboli of bone marrow, giant cells, and syncytial giant cells. Smaller bronchioles dilated; small patches of beginning bronchopneumonia. Liver: Passive congestion, icterus, cloudy swelling, simple necrosis of the central zones of lobules, some periph- eral infiltration; dilatation of larger bile ducts. Spleen: Acute passive congestion. Kidneys: Marked cloudy swelling, congestion. Icterus. Eight kidney shows recent metastatic abscesses and the nephritis is much more marked. Subacute parenchyma- tous nephritis. Kumerous areas of marked purulent infil- tration. Eight adrenal: Shows a thrombus in the adrenal vein with a hemorrhagic anemic infarction of the greater part of the organ. Extensive periadrenal hemorrhage. The blood clot free in the peritoneal cavity is a recent red clot. Intestine: Postmortem change and passive congestion.