Clinical lectures on diseases of the liver, jaundice and abdominal dropsy : including the Croonian Lectures on functional derangements of the liver delivered at the Royal College of Physicians in 1874.

  • Murchison, Charles, 1830-1879.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on diseases of the liver, jaundice and abdominal dropsy : including the Croonian Lectures on functional derangements of the liver delivered at the Royal College of Physicians in 1874. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    tumoul' disappeared, and no tnmonr or enlargement of liver could be felt. WTien the effect of chloroform passed olF, tumour returned ; but under use of irou and belladonna it gradually diminished, and several years aftei-wards she was in excellent health. Case YIII. illustrates the possibility of mistaking a large renal cyst ^ for a cystic tumour of the liver. The history of an injury was not incompatible with hydatid of the liver, for in many cases of hydatid the patients date their origin from an injury, which has been the means of drawing attention to a tumour already existing. There was no history of hsematuria, of pus in the urine, or of other symptoms of urinary disturbance, such as can be elicited in the case of many renal cysts. Unfor- tunately the fluid drawn off during life was not examined for urea, but none was found in that which remained in the sac after death. Moreover, although Mr. Stanley has recorded two cases of renal cyst where the fluid contained urea,^ none has been found in several other cases which are on record.^ Lastly, although after death the ascending colon and coils of small intestine were found in front of the cyst, these could not be made out before paracentesis, when the cyst was tense. The operation was resorted to merely as a palliative, and contri- buted in no way to the fatal result; the inflammation of the sac and the secondary deposits in the lungs had commenced previously. Case VIII.—Enormous Cystic Tumour communicating with Pelvis of Right Kidneij, existing for eight years, and simulating Hydatid Tu- mour of Liver. Joseph 0 , aged 16, was admitted into Middlesex Hosp. under my care Dec. 19, 1867. Eight years before he had been thrown with great force against a wall, injuring his back and right side. For a week after he vomited everything he swallowed, and altogether he was laid up for two months, but he never was observed to pass blood in his urine, or to have urinary symptoms of any sort. He then went to school for a month, when he was seized with severe pain in his back and right side, for which leeches were applied. ' Similar cases are recorded by Mr. Caesar Hawkins (Mod. Chir. Trans., vol. xviii. p. 175); Mr. Stanley (ib., vol. xxvii. p. 1); Sir Henry Thompson (Path. Trans., vol. xiii. p. 128); and Dr. H. Cooper Eose (Mod. Chir. Trans., vol. li. p. 167). Med. Chir. Trans., 1844, vol. xxvii. p. 1. * There was none in Dr. Cooper Rose's case, or in others referred to by Mr. Spencer Wells in the discussion upon Dr. Rose's case at the Medico-Chirurgical Society on May 12, 1868.