On the treatment of hydatid tumours of the liver / by John Harley.

  • Harley, John, 1833-1921.
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of hydatid tumours of the liver / by John Harley. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    to observe these directions, and, as the sinus healed a few days after she discarded the drainage-tube, she considered herself well, but after an interval of a few weeks she presented herself suffering from pain in the hypochondrium and slight pyrexia. The sinus had partially opened a day or two before her readmission, but there was pain and tension in the seat of the original tumour, and on dilating the sinus the catheter passed a distance of eight inches, and communicated with a cavity which discharged about six ounces of pus. Although a fair amount of attention was subsequently paid to this case the healing was slow, and it was fully six months before it was completed. The patient, however, remained in good health during the process. In the case given below, some of the more important matters relative to treatment are well illustrated, and it may be conceded that the injection of antiseptics was continued too long. This, however, was an error on the right side. I am greatly indebted to my friend Dr. Ballance, who was theu acting as my house physician, for his attention to this case. Hydatid tumour of the liver of about eight years' duration; suppuration in consequence of a fall; puncture; complete evacuation of the contents of the cyst on the eighth and tenth days ; maintenance of the opening ; gradual contraction of the sac; healing by the seventieth day ; radical cure. July, 1881.—Catherine M—, set. 44, a healthy woman of dark complexion, the mother of three children, one of whom, the youngest, aged five, is living. Her husband has been dead three years, and there has been no conception since the birth of the last child, but for the last seven or eight years she Iras had retching of clear bitter water, resembling the morning sickness of pregnancy, accompanied by fearful pain in the left shoulder. In childhood she had scarlet fever, measles, and whooping-cough. Her only illness since was an attack of pneumonia, with which she was laid up a month. The symptoms of her present illness began eight months ago. They were, pain in the lower part of the right chest, anorexia, especially on rising in the morning, irregular