A case of non-alcoholic cirrhosis of the liver ; Repair after rupture of the spleen and kidney ; The varying effects of violence in producing fractures ; Knee-joints seventeen months after Ogston's operation (card specimen) ; True adenoma of the breast (card specimen).

  • Power, D'Arcy, 1855-1941.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: A case of non-alcoholic cirrhosis of the liver ; Repair after rupture of the spleen and kidney ; The varying effects of violence in producing fractures ; Knee-joints seventeen months after Ogston's operation (card specimen) ; True adenoma of the breast (card specimen). 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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    Reprinted from the ' Transactions of the Pathological Society of London,' 18‘JO. [HE specimen which I bring before you to-night, Mr. President, 1 belongs to an unusual, but not to a very rare class of cases. It is one of cirrhosis of the liver, occurring in a private person, who was known to have been a total abstainer for a very long period of time. The histories given by patients in cases of cirrhosis are more often than not fallacious, but in the present case the facts appear to be so clear that there is no reason to doubt that they are substantially correct. The liver, as you will see, presents the ordinary characters of cirrhosis. It measures 9 inches in length by 5 iuches at the widest part of its left lobe, Avhilst at its thickest part it is only 2 inches across. It weighs 29 oz. The surface is universally corru- gated, and in parts presents a hob-nailed appearance. It is hard, and creaks under the knife on making a section ; the organ appears pale. The gall-bladder is contracted, and was bound down to the liver substance by dense adhesions. It contains one large stone and several smaller ones. Microscopically the liver is infiltrated by a very vascular growth of small cells, which in many places has destroyed the lobules by a simple process of pressure, since the uew connective tissue is entirely interlobular. The liver-cells, it is to be remarked, are normal, and have not undergone any fatty change such as is common in cases of ordinary cirrhosis, nor does there appear to be any abnormal quantity of pigment. I am indebted for the history of the case, as well as for the specimen itself, to the kindness of Mr. Evan Alban. The liver occurred in the person of a clergyman aged 63, for a long time the vicar of a country parish, who for a period of thirty-seven years, says Mr. Alban, had been without the shadow of a doubt a total / • A case of non-alcoholic cirrhosis of the liver. By D’Akcy Power, M.B.