Instances of some of the rarer varieties of morbid growths swellings, &c. connected with the organs contained within the abdominal cavity.

  • Ogle, John W. (John William), 1824-1905.
Date:
[cbetween 1800 and 1899?]
Catalogue details

Licence: Public Domain Mark

Credit: Instances of some of the rarer varieties of morbid growths swellings, &c. connected with the organs contained within the abdominal cavity. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    an enlargement in the lower part of the abdomen for three months, which had gradually spread over the whole body, creating only slight pain, but much uneasiness and occasional vomiting. On admission, the abdomen was distended with flatus, and a large mass—without, however, any distinct edges, and which appeared to belong to the whole abdominal cavity — was found. No fluid could be detected ; and pressure only occasioned pain down the right side. The urine was high-coloured, not albuminous ; the evacuations from the bowels were natural. In spite of treatment, she got thinner and more pain came on ; vomiting and tenseness of the abdomen followed, and she sank, and died April 12th. Post-mortem examination.—The peritoneal cavity contained a large amount of clear serous fluid. Scattered upon the peritoneum, in every part, were numerous white firm deposits, as large as a pea or mustard- seed, resembling hard encephaloid carcinoma. These small bodies were chiefly abundant in the great omentum, and the folds of peri- toneum about the uterus were much thickened by similar, but softer, deposit. The liver was contracted and adherent to the diaphragm by adhesions, and on the upper or pleural surface of the diaphragm were several large deposits of the same kind as that attached to the peri- toneum. A very small growth also was found under the capsule of one kidney ; but none of the viscera contained any. Microscopically examined, the deposits were found to consist of small cells, mostly without nuclei; some with a single one. [96.] Case X.—Pulsating tumour in the epigastrium formed by scirrhus of the pylorus of the stomach ; scirrhus also of other parts ; scrofulous de- posit, and vomicce in the lungs ; ejjileptic attacks. Elizabeth D., set. 46, was admitted February 13, 1847, with symp- toms of disease of the stomach, having pain there after eating, pyrosis and frequent vomiting, chiefly after food, but at other times also. For two months she had perceived a tumour at the epigastric region, which on her admission was of about the size of a walnut. It was then quite circumscribed, painful on pressure, and situated a little above and to the right of the umbilicus. It pulsated as if from transmitted impulse. Shortly after admission the patient had an epileptic attack, followed by raving delirium. Then other convulsive attacks subsequently oc- curred, during which the pupils ivere contracted to the size of a pin's head, and again became dilated when the fit ceased. She became weaker, and died February 18fch. Post-mortem examination.—The tumour of the abdomen was found to be the pyloric end of the stomach, contracted and surrounded by scirrhous deposit, which internally was ulcerated; the omentum ad- joining contained similar deposit. Similar scirrhous tubercles also existed beneath the peritoneum, covering the liver, spleen, and one kidney. In the substance of one kidney was also a small tumour of the same nature.