A Handbook of Pathological Anatomy And Histology With An Introductory Section O

Cover A Handbook of Pathological Anatomy And Histology With An Introductory Section O
A Handbook of Pathological Anatomy And Histology With An Introductory Section O
Delafield, Francis, 1841-1915
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Showing a section through the stomach wall at the central part of the round ulcer.
tive tissue, muscular and peritoneal coats, its diameter becoming smaller as it advances. The ulcer looks like a clean hole punched out of the wall of the stomach (Fig. 313). Its floor may show no active inflamma- tory changes. Its edges may be in the same condition, or they may be thickened by the growth of connective tissue and cells. The rest of the mucous membrane of the stomach is apt to be in a condition of
... chronic catarrhal inflammation.
The ulcer may perforate directly through the wall of the stomach, and the contents of the latter are discharged into the peritoneal cavity ; or 1 Welch, Pepper's "System of Practical Medicine, " vol. Ii. , p. 504, 1885. Many im- portant data are to be found in this excellent article.
540 THE DIGESTIVE SYSTEM.
adhesions are formed between the wall of the stomach and the neighbor- ing viscera, so that the bottom of the ulcer is closed ; or if the liver, the intestines, or the abdominal wall become adherent, these may be invaded by the ulcerative process, and cavities or fistulae are formed communicat- ing with the stomach ; or, if the adhesions are incomplete, a local peri- tonitis and collections of pus may be developed.


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