PUERPERAL FEVER, 41 was preffed clofe, in that part, againft the os pubis. The ftomach and inteftines were greatly diftended with air, particularly the formera The cecum was alfo much inflated, but contained little elfe than air: the few ex- crements, that were in it, were thin, and of adark colour. In the ftomach was found’ a quantity of thick, blackith fuid. The vef- fels on the furface of the intcftines and fto- mach, were, in different places, diftended with blood, The inteftines flightly adhered to each other, as if pafted together, and {mall parcels of a fatty fubftance, of the fame kind as thofe mentioned before, ftuck faft, in various places, betwixt their feveral convo- lutions, and, in fome meafure, glued them together. ‘The wzerus was in a found ftate, © and lay hid, within the pelvis. Both’ lobes of the lungs were inflamed, and fomewhat black, particularly in their moft de- pendent part. No alteration was found in the pleura, Nothing particularwas difcovered in any of the other vi/cera, F CASE42 A TREATISE on rue CASE Ill. The perfon, who isthe fubject of the pre- fent diffeGtion, was thirty-four years of age, and this was her fecond childbirth. She had an eafy labour, and made no complaints, ei- ther before or after delivery, till the third day. She began with a fhivering, fucceeded by a fever. This was followed by an acute pain all over the abdomen, but efpecially over the region of the ftomach, fhort ribs, and down to the {pine. A fhortnefs ‘of breath, and vomiting attended. The difcharge was green. The belly was neither coftive, nor loofe. She preferved her fenfes entire. - No hiccough, nor /ubfultus tendinum came on. ‘The difeafe terminated fatally, on the fixth day, after childbirth. Dissection. The belly was greatly fwelled. The kin of the whole body was of a tawny, or yellow- ifh hue. Upon viewing the abdominal con- tents, the omentum was found greatly motti- fied,PUERPERAL FEVER. 43 fied. A yellow, fetid liquor, with a mix- ture of pus, filled the pe/vis, and floated among the inteftines. The whole inteftinal canal was diftended with fetid air, but particularly the great flexure of the colon. A general in- flammation appeared fcattered, in various parts, over all the inteftines. The ftomach was not diftended with fiatus, but lay con- cealed under the liver, which was of an ex- traordinary magnitude, It had puthed itfelf, as it were, high up into the cavity of the thorax, and carried the diaphragm along with it; to which it adhered fo firmly, in its whole, convex furface, as not to be feparated. In the right lobe was found a very extenfive ab- feefs, filled with hydatides, fwimming in a fluid which was void of all fmell. ‘The hy~ datides were perfe€tly round, and of various magnitudes, from the fize of a hen’s egg, to that of a hazel-nut, They were compofed of a thick gelatinous fubftance, fomewhat of a brown colour, but pretty tranfparent, and fo firm as not to be deftroyed by handling. The reft of the liver appeared to be quite found. The gall-bladder was pretty large, and full of bile. The iungs were of a re- markably {mall fize, denfe, and livid; they Fa did