Cases of encysted tumours connected with the liver, and of aqueous encysted tumour of the kidney, with a supernumerary gland attached to it / by Caesar Hawkins.

  • Hawkins, Caesar Henry, 1798-1884.
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: Cases of encysted tumours connected with the liver, and of aqueous encysted tumour of the kidney, with a supernumerary gland attached to it / by Caesar Hawkins. 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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    front, but towards the back and inner part it was so thin and soft, as to tear with facility, and scarcely to allow of being dissected out. The cyst had pro- truded slightly below Poupart's ligament through the femoral ring, and reached upwards to the liver, raising the ribs, and pushing the liver towards the left side and into the chest; the other viscera were pushed to the left side of the abdomen, and the cyst was on that side covered by the peritoneum belonging to the colon ;^—in front it was adherent to the inner surface of the abdominal muscles, and behind to the iliacus internus and psoas muscles, and to the side of the lumbar vertebrse, where it was thinnest. It thus occupied the whole of the right half of the abdomen and iliac fossa, and encroached a little upon the pelvis, being external to the peritoneum. On the inside and towards the fore part of the cyst was seen the ureter, which was traced upwards between the layers of which the cyst was contained, towards the right kidney, which was situated at the back part of the cyst towards its upper and inner part. The ureter was tortuous and elongated, so as to make it difficult to trace its course, but it entered the kidney in the usual way, and was of its common size, and had no communication with the cyst; but there were two small orifices in the pelvis of the kidney, which seemed to have been the result of ulceration, and near these orifices the ureter and pelvis of the kidney were of a black colour, and tarnished the probe, as sulphuretted hydrogen does. The kidney was of the M