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Updated: May 13, 2025
The rupture usually occurs on the posterior wall, involving the peritoneal coat and allowing extravasation of urine into the peritoneal cavity, a condition that is almost inevitably fatal unless an operation is performed. Bartels collected the data of 98 such cases, only four recovering.
Perforation, when it takes place, is on the posterior aspect; the apertures are circular, and surrounded by inflammation and black extravasation. The blood in the large vessels may be coagulated. Avoid mistaking gastric or duodenal ulcer, with or without perforation, for the effects of a corrosive poison. Treatment.
The opium-eater may be known by his attenuated body, withered yellow countenance, stooping posture, and glassy, sunken eyes. Post-Mortem Appearances. Not characteristic. Turgescence of cerebral vessels. There may be effusion under arachnoid, into ventricles, at base of the brain, and around the cord. Rarely extravasation of blood. Stomach and intestines usually healthy. Lungs gorged, skin livid.
In some cases where infection of this extravasation of blood and serum occurs, instead of desiccation and discoloration of the insensitive parts, there is, in time, manifested a circumscribed area of destruction of the insensitive sole and the abscess may, where no provision for drainage exists, burrow between sensitive and insensitive laminae and perforate the tissues at the coronet.
The inflammation at the same time seizes on the membranes of the nostrils, and those lining the bones of the nose, particularly the nasal portion of the ethmoid bone. These membranes are often inflamed to such a degree as to occasion extravasation of blood, which I have observed coagulated on their surface.
As soon as injury by pressure, such as is supposed to cause the formation of corns, is brought to bear on the sensitive sole, an extravasation of blood occurs. In time when the cause remains active, this discoloration is evident in the substance of the insensitive sole and consists in a red or yellowish spot which varies in size this is ordinarily termed dry corn.
In all contusions accompanied by extravasation, there is marked swelling of the area involved, as well as pain and tenderness. The temperature may rise to 101°
Peritonitis was apparently not present in any of the cases, the urinary extravasation having occurred into the cellular tissue behind the peritoneum. There are a few recorded cases of uncomplicated wounds of the ureters.
The jerks which the man gave me no doubt had restored me to my senses. I succeeded in sitting up and spitting out the clots of blood from my throat. The shock caused by the wind of the ball had produced such an extravasation of blood, that my face, shoulders, and chest were black, while the rest of my body was stained red by the blood from my wound.
"Here is a gentleman this crazy mare has thrown against a tree, and who has received a violent blow on the head. Do you not think it would be the proper thing to bleed him?" "A slight phlebotomy might be very advantageous in stopping the extravasation of blood in the frontal region," replied the peasant, calling to his aid all the technical terms he had learned when he was a hospital nurse.
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