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.

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    peared on the thigh and scrotum little transparent vesicles, which tilled and then burst, discharging at one time a whej-like at others a milk-like fluid. The skin of the scrotum was in general hypertrophic. The fluid was afterwards examined and found to contain milk-sugar, but I am now decidedly of opinion that the case was one of lymphatic varices and dilatations; because, very recently, Guevenne found sugar in the lymph of a patient who suffered from a flow of lymph.” ^ Lebert also refers to a case re¬ corded by Zamini, in which the chemical analysis was made by Canobio, in Genoa, of a woman who had a so-called flow of milk from the thigh, and which he refers to a similar dilatation of the lymphatics.^ I had recently an opportunity of seeing a case similar to the two last, which is under the care of my friend Dr Andrew B. Buchanan of Glasgow, in which there has for long existed an abundant milk-like discharge, an account of which will shortly be published. Virchow has described a case in which enlargement of the tongue was proved to be dependent, to a great extent, on dilatation of the lymphatic vessels.® Such are the chief recorded instances of dilatation of the lym¬ phatic vessels, so far as I have been able to ascertain. I have referred to most of the cases I have found described, although I am by no means satisfied that all of them are correctly included under this title. Of the nature of Rokitansky’s case, and that which I have reported, there can be no reasonable doubt. Whether any symptoms are associated with the lesion I have described, we have no means of knowing at present. Future observation may throw light upon it. 1 Op. cit. 2 Op. cit. ^ Archiv fur pathologische Anatomie, etc., band vii. s. 126. PRINTED BY OLIVER AND BOYD, TWEEDDALE COURT, EDINBURGH.