Lettsomian lectures delivered at the Medical Society of London, 1872, on the pathology and treatment of some diseases of the liver / by S.O. Habershon.

  • Habershon, S. O. (Samuel Osborne), 1825-1889.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Lettsomian lectures delivered at the Medical Society of London, 1872, on the pathology and treatment of some diseases of the liver / by S.O. Habershon. 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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    irritation; it is rare to find this destruction of tissue in the bile-ducts, though it has frequently been found in the gall-bladder. An angular calculus in the ducts, ■whilst it fails to block up the canal, may cause ulcera- tion ; as we have known where several calculi were present in the ducts. From the gall-bladder, the ulceration may pass through into the peritoneum, or into the duodenum, or into the stomach or the colon, or it may reach the parietes, as in the case already mentioned. The symptoms of this extension of dis- ease are generally a fixed pain at the part, with sym- pathetic disturbance of the adjoining viscera; but the indications may be so slight, that the discharge of the calculus from the bowel, or its impaction in the small intestine, may be the first evidence we have of the passage of the gall-stone from the bladder; and in an instance of a patient who died in Guy's Hospital from the administration of chloroform, it was found that an ulcerative opening existed between the gall-bladder and the duodenum, although the patient had given no history of disease at the part. Entozoa, as the ascaris lumbricoides, have been known to enter the gall-duct from the duodenum; and hydatids are in some cases discharged by this same channel. A far more important pathological condition, how- ever, is inflammatory thickening of the duct, with or without external inflammation and abscess. The pas- sage of a gall-stone will sometimes induce fibroid thickening and persistent jaimdice; or local inflam-