viii, B, 2 Hilario: Tumors of Pituitary Gland IQl 



noted, owing to the unconscious state of the patient and the absence of 

 relatives or friends capable of supplying them. 



Observations. — Five hours after admission. The patient has remained 

 comatose since admission, in spite of the treatment instituted. A few 

 moments afterwards the convulsions lessened gradually, and a general 

 progressive adynamia declared itself. 



The cadaver was brought to the city morgue Math diagnosis undeter- 

 mined. The following is the report of the autopsy performed seventeen 

 hours after death, with histological examination of the affected viscera. 



The cadaver is that of an individual of good musculature, corpulent, of 

 medium height (163 centimeters), with a weight of 53.6 kilograms. There 

 is cadaveric rigidity present in both superior and inferior extremities and 

 lividity in the dependent parts. Some eschars are present on the body. 

 There is a tattoo with initials L. R. on the anterior surface of the left 

 forearm. No enlargement of the superficial lymphatic glands can be 

 detected. Pupils are slightly dilated; face normal; thorax well shaped; 

 abdomen plane. Genitalia are well developed without apparent solution of 

 continuity, recent or remote. No evidences of hypertrophy of the osseous 

 system are present. 



The subcutaneous adipose tissue is in normal quantity, and has a dull 

 yellow color. The muscular tissue is perfectly developed. The tissues 

 have a normal appearance. 



The peritoneum is smooth and glistening. There is a normal quantity 

 of peritoneal fluid. The appendix and intestines are normal. The omentum 

 covers the guts like an apron, and is 3 centimeters below the umbilicus. 

 The liver is not prolapsed. There are adhesions between the anterior 

 surface of the liver and the abdominal surface of the diaphragm. This 

 latter rises to the level of the fourth interspace on the right side and to 

 the level of the fourth rib on the left. 



The pericardium is smooth, whitish blue, and contains approximately 

 5 cubic centimeters of an orange-yellow liquid. The heart is soft, and 

 normal in size; it contains post-mortem coagula; the musculature is firm, 

 normal in aspect; the valves are fine and elastic. The aorta is normal 

 except at the base where there is a slightly raised area, which is trans- 

 lucent, fibrous, and 6 millimeters at its widest diameter. 



Lungs. — The lungs are adherent to the thoracic and diaphragmatic 

 walls. They are crepitant except in certain spots. The surface is some- 

 what rough, due to adhesions at the apex of the superior and base of the 

 inferior lobes, and is dark gray anteriorly and reddish posteriorly. Several 

 nodular indurated areas are felt on palpation. Section across these indur- 

 ated areas shows congested collections of tissue from 5 to 15 millimeters in 

 diameter situated, apparently, about the bronchial terminations, and 

 slightly raised from the pulmonary parenchyma. Scraping the surface 

 loosens some fibrin filaments from the bronchial infundibula, together with 

 a serosanguineous exudate from the air vesicles. 



The bronchi are slightly congested, and contain frothy exudate. Micro- 

 scopically, there is a dense infiltration of red and white cells around the 

 bronchioles. The epithelial lining of the bronchi is detached in part from 

 its basement membrane, and the cells occupy the lumen of the bronchi, 

 together with a fibrinous exudate in the form of a network in whose 

 meshes are red blood-cells and leucocj^es. The air vesicles, vessels, and 

 lymphatic spaces are loaded with red globules. 



