Medical Terminology Daily - Est. 2012

Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Georg Eduard Von Rindfleisch

Georg Eduard Von Rindfleisch
(1836 – 1908)

German pathologist and histologist of Bavarian nobility ancestry. Rindfleisch studied medicine in Würzburg, Berlin, and Heidelberg, earning his MD in 1859 with the thesis “De Vasorum Genesi” (on the generation of vessels) under the tutelage of Rudolf Virchow (1821 - 1902). He then continued as a assistant to Virchow in a newly founded institute in Berlin. He then moved to Breslau in 1861 as an assistant to Rudolf Heidenhain (1834–1897), becoming a professor of pathological anatomy. In 1865 he became full professor in Bonn and in 1874 in Würzburg, where a new pathological institute was built according to his design (completed in 1878), where he worked until his retirement in 1906.

He was the first to describe the inflammatory background of multiple sclerosis in 1863, when he noted that demyelinated lesions have in their center small vessels that are surrounded by a leukocyte inflammatory infiltrate.

After extensive investigations, he suspected an infectious origin of tuberculosis - even before Robert Koch's detection of the tuberculosis bacillus in 1892. Rindfleisch 's special achievement is the description of the morphologically conspicuous macrophages in typhoid inflammation. His distinction between myocardial infarction and myocarditis in 1890 is also of lasting importance.

Associated eponyms

"Rindfleisch's folds": Usually a single semilunar fold of the serous surface of the pericardium around the origin of the aorta. Also known as the plica semilunaris aortæ.

"Rindfleisch's cells": Historical (and obsolete) name for eosinophilic leukocytes.

Personal note: G. Rindfleisch’s book “Traité D' Histologie Pathologique” 2nd edition (1873) is now part of my library. This book was translated from German to French by Dr. Frédéric Gross (1844-1927) , Associate Professor of the Medicine Faculty in Nancy, France. The book is dedicated to Dr. Theodore Billroth (1829-1894), an important surgeon whose pioneering work on subtotal gastrectomies paved the way for today’s robotic bariatric surgery. Dr. Miranda.

Sources:
1. "Stedmans Medical Eponyms" Forbis, P.; Bartolucci, SL; 1998 Williams and Wilkins
2. "Rindfleisch, Georg Eduard von (bayerischer Adel?)" Deutsche Biographie
3. "The pathology of multiple sclerosis and its evolution" Lassmann H. (1999)  Philos Trans R Soc Lond B Biol Sci. 354 (1390): 1635–40.
4. “Traité D' Histologie Pathologique” G.E.
Rindfleisch 2nd Ed (1873) Ballieres et Fils. Paris, Translated by F Gross


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Female pelvis, lateral view. c=cervix. The purple lines represent the main axes of the uterine body and the uterine cervix 
Click for a larger image

The word [trachelectomy] is composed of the root term [-trache-] which arises from the Greek word [τράχηλος] (trahelos), meaning “neck”, and the suffix [-ectomy] meaning “removal of”. The word [trachelectomy] then means “removal of the neck”.

Another way to refer to this procedure is [cervicectomy], where the root term [-cervic-] arises fron the Latin term [cervix], also meaning neck.

The procedure refers to the removal of the neck or cervix of the uterus. It can be performed as a procedure where the cervix is removed leaving the body of the uterus or [uterus proper] in place. This is done is younger females where there is a cervical cancer, but there is still the possibility of attaining pregnancy. The procedure carries a higher chance of miscarriage and the baby must be delivered via a Cesarean section.

A second reason to remove the cervix of the uterus is as a secondary procedure, after the uterus proper has been removed as part of a supracervical hysterectomy and the cervix, left behind, shows signs of cancer.

Medical terminology note: Trachelectomy and cervicectomy… why are there two terms for the same procedure? That is actually quite common in medical terminology, where you have words having the same meaning that arise from Latin and Greek. In fact, there are cases where there are more than two terms for the same organ or procedure, and let’s not count the vernacular terms on top! This makes medical terminology and interesting and fascinating topic. I would suggest that you click around the links for this article, you will find some interesting information. Dr. Miranda