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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    finds that these cysts are^ as Virchow pointed onh some- times developed from vasa bilifera aberrantia^ and in cases where that origin has been demonstrated the cysts did not contain biled Thus a bile cyst does not necessarily mean a cyst developed from a bile-duct; possibly it may not always originate in any kind of duct; in my case it might have arisen from the breaking-down of liver tissue with rupture of a duct. I shall presently say more about the accident wliich happened to the patient^ and shall refer to the question of congenital malformation. The cyst was too laro'e to allow of theorisino’ about its orio-in ; 1 shall there- fore dismiss these purely pathological questions^ and turn to instances of large liver cysts already published^ whilst the possibility of h}^datid disease will be discussed wdien I analyse certain features in my own case. Reported cases of large non-hydatid cysts.—In several instances cysts of the liver have been found projecting from the surface of that orgaiq so that they could be removed more or less completely by operation. A few words may be said about these pedunculated cysts. Langenbuch refers to cases reported by Midler of Aix- la-Chapel]e^ Berg^ and Hueter ; the latter operated upon a girl aged eleven. I'he cyst held over four pints of a greyish fluid containing cholesterin; it was removed entire; its adherent part caused bleeding when separated^ and a big gap was left in the liveiq closed by sutures. The patient recovered. Kaltenbach excised part of the liver during a similar operation, but the tumour wms probably a cystic adenoma. The same may be said of LVIidler’s case. The best known removable hepatic cyst was that operated on by Ward Cousins. It simulated an ovarian tumour, and contained two and a half gallons of a clear, limpid, yellow fluid, which apparently was not ^ I have not dwelt on cysts containing- bile or “ inspissated green secretion” developed from hepatic cells (F. T. Fanfi ‘Trans. Path. Soc./ vol. xxxvi, p. 238). They are related to adenoma, and are always multiple.