492 Report of the City and Finshiry Dispensaries. 



Dissection. — A small quantity of a yellowish fluid was 

 found in each cavity of the thorax ; the mediastinum was 

 attached only to the right side of the sternum ; the heart 

 was placed on the right side, and no part of that organ 

 reached beyond the middle of the sternum; the right lung 

 very small, but divided into three lobes. 



The left cavity of the thorax contained the small and part 

 of the large intestines, which had protruded through an 

 opening in the diaphragm of a sufficient size to admit of 

 their being essily retracted ; the left lung was also very small, 

 but divided into two lobes. 



The cavities of the heart were natural ; the foramen ovale 

 of its usual appearance ; the canalis arteriosus was large; 

 the pulmonary vessels were small, particularly on the left 

 side, corresponding to the diminished state of the lung. 



The vessels from the curve of the aorta and intercostals 

 were distributed as usual ; the phrenic, coelic, emulgcnt, 

 spermatic, and umbilical vessels were natural ; the trunk of 

 the superior mesenteric artery was continued through the 

 opening of the diaphragm to supply the abdominal viscera 

 that had protruded into the thorax ; the inferior mesenteric 

 and the vessels going to the lower extremities were distri- 

 buted in the usual manner. 



The liver was large; the gall-bladder and vessels were 

 perfect ; the spleen, pancreas and stomach were well 

 formed ; the duodenum ascended in its course across the 

 spine to the opening in the diaphragm ; the jejunum ilium, 

 caecum, ascending and transverse colon, were situated in 

 the thorax, where they appear to have been formed, as from 

 the attachment of the mediastinum and size of the lung 

 there could not have been any viscera to have occupied the. 

 )eft cavity of the chest. 



The descending colon passed through the same opening 

 into the abqlomen over the left kidney, and formed the sig- 

 moid flexion on the brim of the pelvis, and terminated in 

 the rectum. 



The superior part of the left kidney was opposed to the 

 opening in the diaphragm, and could be seen from the tho- 

 rax on raising the intestines. 



The 



