An enquiry into the statistics and pathology of some points connected with abscess in the liver as met with in the East Indies / by Edward John Waring.

  • Edward John Waring
Date:
1854
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Licence: Public Domain Mark

Credit: An enquiry into the statistics and pathology of some points connected with abscess in the liver as met with in the East Indies / by Edward John Waring. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    being about the size of a large egg. The condition of the intes- tines not given. (Dr. J. B. Preston, ibid, vol. v, p. 2o0.) No. 55.—R. Foreman, act. 36, 16 years in India, a healthy looking Englishman, admitted July 16th, with hepatitis. He had very severe pain in the right hypochondrium, increased on pressure, and pain in the right shoulder. The tongue was foul and bilious, the pulse and skin natural. Next day, he had much dyspnaea, and his stomach became very irritable ; from this time vomiting was a constant and distressing symptom ; urine high coloured, stools dark and watery ; tongue brownish yellow. The pain in the liver subsided under local depletion and calomel, and on the 22d there was no pain in the abdomen, even on heavy pressure; his countenance became shrunk, and he could retain nothing on his stomach. He died on the 26th. Autopsy.—The right lobe of the liver contained two large ab- scesses. State of the intestines not given. (.D. J. B. Preston, ibid, vol. v, p. 250—254.) No. 56.—J. Spurway, mt. 33, a weak, sallow, unhealthy, in- temperate man, admitted May 14th, 1841, with acute pain in the epigastric and hypochondriac regions, increased b}r pressure, and by lying on the right side ; the liver was evidently much enlarg- ed—and he had fever, with a small frequent pulse. He had been treated for dysentery, a few weeks previously, when he took mercury to the extent of affecting his mouth. Notwithstanding energetic treatment, the symptoms denoting abscess became appa- rent, as early as the sixth day, manifested by cold chills, clammy perspirations, emaciation, and anxeity of countenance. The liver was explored, but he got worse, and died on the 40th day after admission. Autopsy.—The right lobe of the liver enormously enlarged, and contained four distinct abscesses, in one of which was 1| pint of healthy pus. The condition of the other parts not stated. ( W. Parry, Esq., ibid, vol. v, p. 321.) No. 57.—P. Griffin, aet. 29, 1 year in India, admitted with intermittent fever Aug. 28th, and died Oct. 19th, 1840. His- tory not given. Autopsy.—Liver much enlarged, the right lobe closely adherent to the right side of the chest, contained a deep seated abscess, holding 10 ounces of purulent matter. The small intestines much injected at several places. The transverse arch of the colon much contracted, and its mucous coat in some places abraded, mesenteric glands enlarged, and of a purple colour. (Dr. J. Middlemas, ibid, vol. v, p. 364.)
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