A treatise on gall-stones : their chemistry, pathology, and treatment / by J. L. W. Thudichum.

  • Thudichum, J. L. W. (John Louis William), 1829-1901.
Date:
MDCCCLXIII. [1863]
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on gall-stones : their chemistry, pathology, and treatment / by J. L. W. Thudichum. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    slight delirium: no vomiting since the first day. In the afternoon of Tuesday, the 16th, he died. The treatment adopted consisted of venesection, leeches, cupping, castor-oil, followed by opium in large doses, with small quantities of mercury pill, enemata, fomentations. The cupping gave the greatest relief, enabling him to he on the left side of the body without pain for six hours, after which it returned as before. The opium failed to produce sleep, except for a few minutes, which the patient believed to be as many hours. Post-mortem examination forty-eight hours afterwards.— Abdomen very tense ; a little clear yellow serum escaped from the first incision. At the right iliac region, close to the appendix vermiformis (which was glued to the parietes with lymph of a greenish colour), were found two gall- stones, one weighing five grains and a half, the other one grain and three quarters, quite loose in the peritoneal cavity. Much greenish lymph was effused on the neighbouring viscera. On following the effusion upwards, it led to the pyloric extremity of the stomach, on the greater curve of which, about one inch and a half from the pylorus, was found a large valvular opening, from which the contents of the stomach gushed upon the slightest pressure. The escape of a Calculus from the Gall-bladder into the Abdominal Cavity. (Letter from Mr. John Sharman to the Editor of the ‘ Medical Times and Gazette,' March 12, 1859, p. 274.) Recently in a female brought into the anatomical room of the London Hospital, there was found by one of the pupils (Mr. Little) a calculus of the size of a blackbird’s egg, located at the acute margin of the liver, and sur- rounded by a firm cyst in close proximity to the gall- bladder.