Hydatid disease, with special reference to its prevalence in Australia / by John Davies Thomas ; to which is added a collection of papers on hydatid disease, by the same author, edited and arranged by Alfred Austin Lendon.

  • Thomas, J. Davies (John Davies), 1844-1893.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Hydatid disease, with special reference to its prevalence in Australia / by John Davies Thomas ; to which is added a collection of papers on hydatid disease, by the same author, edited and arranged by Alfred Austin Lendon. 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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    It would appear that rupture may occur first into the pleura and then into a bronchial tube, or vice versa, or that both events may take place simultaneously. Usually, these accidents appear to occur spontaneously, but now and then the excitement of a fit of anger, as in a case recorded by Fouquier* ; or an injury to the chest from a blow with the fist, as in a case under my care ; or a fall from a cab ; + or the impact of the chest against the water in diving from a height, as in a case recorded by Wischer,J may cause the rupture. In nearly all the recorded cases, death has resulted from rupture into the pleura, unless surgical measures have been taken to drain that cavity, and permit the remains of the parasite to escape. I have recorded three cases |] in which cure followed free incision into the pleura for the relief of this condition. In two of the cases there was foetid pyo-pneumo-thorax, in the third the gaseous contents of the pleural cavity were aseptic at the time of the operation. C. Operations involving the removal of the Fibrous Sac as well as of the Hydatid Cyst. Operations upon Abdominal Hydatids in which, besides the Parasite, the Fibrous Sac was removed more or less completely.—In a few recorded cases, the fibrous capsule of the parasite has been removed. Sometimes this kind of operation has been adopted in consequence of an error of diagnosis, in others the procedure has been forced upon the operators by the exigencies of the case. In one case, operated on by Spiegel berg,§ a woman, aged 42, had a retro-peritoneal echinococcus cyst connected with the omentum, the large and small intestine, and the right kidney, which was mistaken for an ovarian cyst ; the fibrous capsule and a portion of the right kidney were removed. The patient died of collapse twenty-six hours after the operation. In a second case, operated on by the same surgeon,H a woman, aged 30, bad a large abdominal hydatid of retro-peritoneal origin. This was treated by abdominal section, partial removal of the fibrous sac, and * Cited by Hearn. Kystes Hydatiques du Pouiuon et de la Plevre. Paris Thesis, la75, page 131. + St. George’s Hospital Reports. Vol. IV., pages 272 and 305. I Cited in Madelung. Beitrage Mecklenburgischer Aerzte zur Lelire von der Echinococcen- Krankheit. Stuttgart, 1SS5. No. 18, page S5. || Australian Medical Journal, September, 1SS9. § Spiegelberg: Arcliiv fur Gymekologie, 1870. •I Archiv fur Gynwk., 1872.