Analysis of fifty cases of hepatic abscess treated in the Seamen's Hospital, Greenwich, and the branch hospital, in the course of the last twenty-five years (1870-1895) / by W. Johnson Smith.

  • Smith, W. Johnson.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Analysis of fifty cases of hepatic abscess treated in the Seamen's Hospital, Greenwich, and the branch hospital, in the course of the last twenty-five years (1870-1895) / by W. Johnson Smith. 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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    Nationality. English ... Irish Scotch ... Hindoos Germans Swedes ... Danes Portuguese Africans 27 4 3 5 3 2 2 2 2 50 Occupation and Rating. Able Seamen Lascars ... Firemen ... Ship’s Cook Mates First Officer Ship’s Carpenter Ship’s Steward ... Ordinary Seaman Landsman 30 5 6 1 2 I I I I I 49 Nature and Extent of the Hepatic Disease. Numbers 13, 31 and 43, are clearly cases of pure metastatic suppuration, resulting in the first from pyrnmic, and in the other two from septicaemic infection. Cases 3 and 26 may be excluded from further consideration, as it seems doubtful from the record of the autopsy in each case whether the abscess found beneath the right lobe had taken origin in the liver or not. The remaining 45 cases are instances of hepatic suppuration, such as is rarely met with, except in those who have visited tropical regions, or suffered from dysentery. These 45 cases include an anomalous instance (No. 45) the nature and causation of which it seems difficult to determine. Situation and Number of the Abscesses. (a) . In 13 cases a large single abscess in right lobe, found on posi-mortem examination. (b) . In 7 cases, operation on an abscess in the right lobe was followed by recovery.