260 A few Remarks on the diseases of Seamen. 



regain their healthy tone. Scybala, or hardened faeces, are 

 hardly ever met with, and in the course of 1843 and 1844 no 

 hepatic complications were observed. 



An abstract is given of the post-mortem appearances in 

 two cases, which differ a good deal from those usually 

 met with. In the first, the small amount of disease in the 

 colon was remarkable ; in the second, the small intestines 

 and stomach were partially involved. 



J. J , Mtat 16, died after eight days' illness. Sect, cadaver. 



The small intestines and the colon, externally healthy and pale: 



very slight inflammation of the mucous coat of the transverse colon, 



which contained a lumbricus, but showed no tendency to ulceration : 



from the descending colon along the sigmoid flexure to the end of the 



i 

 rectum, the intestine was one mass of thickening and ulceration, in 



many places yielding to the finger. Liver healthy. 



J. L , JStat 25, died after eleven days' illness. Sect, cadaver. 



Colon enormously distended with flatus, and concealing from view 

 the other viscera ; its inner coat and that of the ccecum studded 

 throughout their whole extent with thick- set deep ulcers, which had 

 in some instances almost penetrated their walls : small intestines in 

 many spots inflamed externally, and with some lymph effused on 

 their surface : healthy internally. Stomach small and shrivelled up, 

 with patches of red, but no ulceration on its mucous surface. Liver 

 sound. 



Hepatitis. — The cases among seamen were all either chro- 

 nic or sub-acute, and easily relieved. An iron-founder was 

 admitted into hospital, who had burst an abscess of the liver 

 into his lungs, while he was at work, at which he continued 

 for some days after that occurrence. He died about six 

 weeks after with all the symptoms of phthisis, and on post 

 mortem examination his right lung was found completely 

 disorganised, and on the superior surface of the right lobe 

 of the liver were the remains of a superficial abscess which 

 was rapidly healing, having a base about the size of a crown 



