On dilation of the lacteals / by T. Grainger Stewart.

  • Stewart, Thomas Grainger, 1837-1900
Date:
[1863?]
Catalogue details

Licence: Public Domain Mark

Credit: On dilation of the lacteals / by T. Grainger Stewart. Source: Wellcome Collection.

    1/6
    ON DILATATION OF THE LACTEALS. By T. GRAINGER STEWART, M.D., F.R.C.P., PATHOLOGIST TO THE KOYAL INFIRMARY; LECTURER ON GENERAL PATHOLOGY AND PATHOLOGICAL ANATOMY, EDINBURGH, Reprinted from the Edinburgh Medical Journal, November 1863. The peculiar lesion which I propose to describe is one of so rare occurrence that I do not find it mentioned in any English work on morbid anatomy, though it was referred to by Rokitansky in his last edition. I shall first describe the case in which it occurred, and then explain my view of its nature. S. M., a man get. 60, was examined August 28, 1863. The body was very oedeniatous, the heart was hypertrophied and fatty, the aortic valves much diseased, and covered with vegetations. The auriculo-ventricular orifices were dilated, and the valves dis¬ eased. The coronary arteries were tortuous and atheromatous. The aorta contained some calcareous plates and patches of atheroma. The pleura were adherent—the adhesions very cedematous. The lungs were emphysematous in front, cedematous posteriorly, and contained some patches of pulmonary apoplexy. The liver was much congested, and somewhat cirrhotic—the hepatic venous radicals were dilated :—it weighed 52 oz. The capsule of the spleen was thickened. The right kidney was natural, excepting an old cicatrix. The left contained several cysts, none of large size. The two organs weighed 16 oz. The stomach was dilated. The muscular layer was hypertrophied in the neighbourhood of the pylorus. The mucous membrane was extremely congested, and in some parts ecchymosed. Towards the cardiac end there were patches of a yellowish colour, perhaps results of old extravasation. The intes¬ tine throughout its whole extent was congested. In many parts the small veins formed little prominences above the surface. There was a polypus in the ascending colon. Scattered throughout the whole small intestine was a number of whitish-yellow patches, varying in size from that of a pin-head to that of a small bean. Some were gTanular on the surface, and evidently connected with