Large bile cyst of the liver : jaundice without cholelithiasis : incision and drainage : recovery / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1903]
Catalogue details

Licence: In copyright

Credit: Large bile cyst of the liver : jaundice without cholelithiasis : incision and drainage : recovery / by Alban Doran. 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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    506 limits; tlie left lobe became less and less tender to toucli. During the first week the dressings were saturated with green bile, and about a pint of bile was removed through the tube daily by aid of a syringe. The rubber tube was gradually shortened, but was not entirely removed until the seventeenth day. By the second week the jaundice began to diminish steadily ; the conjunctive were quite white after April 1st. The urine soon cleared, but a trace of albumen persisted for three weeks. At first I gave liquor strychnine in moderate doses. I also administered five grains of fel bovinum three times daily from the third to the sixteenth day. The escape of bile set up a troublesome pustular eruption on the fourteenth day. Early in the third week the discharge of bile began to lessen. The motions were still white. The patient was depressed, as is often the case in jaundice, but the complexion continued to clear. The patient was allowed port wine and took quinine. On April 3rd the nurse informed me that the motions passed in the morning were coloured. Next day I examined them ; they were of a medium brown colour. The patient was once more cheer- ful ; the conjunctive had become pearly white. Hence- forward till April 17th, when the patient left the hospital, thirty-eight days after the operation, the motions remained dark, and the discharge from the fistulous track left after removal of the tube diminished. An ounce or two of purulent bile was removmd ev'ery morning through the track ; the cyst was occasionally washed out with chinosol. At her discharge from hospital, on April 17th, the patient was in excellent health. The fistula had a narrow orifice, and the probe passed four inches upwards and backwards along a narrow track, and on careful probing I detected a cavdty or pouch, two inches from the surface, into which the probe passed for about two inches. The cavdty, owing to the nature of the liver tissue, could not have closed up entirely, but probing could not determine ])recisely how far it had closed. The