Civil War Washington

CASE 69.—Private John Ingraham, Co. C, 17th. U. S. Inf'y; age 23; was admitted November 23, 1863, with remittent fever. He died November 26. Post-mortem examination: Body not much emaciated: rigor mortis well marked. There was some venous congestion in the membranes of the brain. The right lung weighed thirty-three ounces; its upper lobe contained tubercles, some of which were cretefied. and beneath these a cavity the size of a horse-chestnut; the middle lobe was healthy; the lower lobe splenified. The left lung weighed twenty-four ounces; it was firmly bound to the thoracic parietes by old adhesions, which also obliterated the division of the lobes; the posterior portion of its lower lobe was splenified and contained some tubercular deposits. The bronchial glands were large and black. The right auricle of the heart was greatly distended by fluid blood; there were no clots in any of the cavities. The liver was bronzed and weighed fifty-two ounces; the gall-bladder contained twenty-five drachms of bile. The spleen was firm and of a dark mahogany color. The pancreas was quite white but not very firm; it weighed three ounces. The kidneys were very much congested. The stomach was enormously distended with a muddy-green liquid. The mucous membrane of the small intestine was congested throughout and intensely purple; the valvuæ conniventes were prominent; Peyer's patches were not elevated; the solitary follicles near the ileo-cæcal valve were conspicuous, their summits being of a deeper purple than the adjacent mucous membrane. The large intestine was normal.—Ass't Surg. Harrison Allen, U. S. A., Lincoln Hospital, Washington, D. C.