CASE 182.—Private William
Gibbings, Co. F, 5th Mich.; age 35; was admitted April 21,
1864, with typhoid fever, and died May 12. Post-mortem examination twenty-three hours after death: The brain weighed fifty ounces. The mucous
membrane of the larynx and trachea was somewhat congested.
The right lung weighed thirty-two ounces, its lower lobe
hepatized red, its upper lobe gray and the pleural surfaces
adherent; the left lung weighed nineteen ounces. The heart
was flabby; there were three drachms of light-red fluid in
the pericardium. The œsophagus was healthy; the
cardiac end of the stomach reddish-brown and much softened;
the mucous membrane of the duodenum much congested; the
solitary follicles of the ileum and Peyer's patches
ulcerated, some of the ulcers penetrating to the peritoneum;
a small triangular piece of bone was found in the appendix
vermiformis; the mucous membrane of the large intestine was
much congested and softened. The liver, fifty-nine ounces
and a half, was flabby and anæmic; there were six
drachms of gamboge-colored liquid in the gall bladder; the
spleen eleven ounces and a half, was pulpy, its capsule
easily separated and presenting on its superior surface a
"round white body resembling bone." The right kidney weighed
five ounces, the left five ounces and a half; both very soft
and flabby.—Act. Ass't Surg. A. Ansell, Lincoln Hospital,
Washington, D.C.