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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    The lungs were somewhat emphysematous, congested, and a shght amount of scrofulous deposit and a vomica were found in one lung. The brain contained much serum, and was rather softened. [51.] Case XI.—Peculiar tMchening of the walls of the ahdomcn oiving io fibrinous exudation beneath the mucous and serous surfaces ; placenta- like mass formed by similar deposit in the great omentum. Peri- tonitis ; phthisis, .Robert B., £et. 35, was admitted February 21, 1855. He said that he had lived freely, and that about five months before admission he became subject to griping pains in the umbilical region, with ten- derness over the part. His appetite failed, and he had a feeling of weight after eating. There Vv^as no swelling about the abdomen, and no vomiting of food, but often violent retching. The tongue was coated ; bowels costive. He said he had had but little sleep for three weeks. Under the use of aperients, with hydrocyanic acid and soda, the vomiting was to some degree stayed ; but it became worse, at- tended by more pain in the abdomen ; and he had blood-stained muco-purulent expectoration. He got low and weak and desponding. The expectoration, v/hich became profuse, somewhat ceased under the use of acetate of lead and opium. In spite of stimulants, &c. he sank, and died March 31sfc. Post-mortem examination.— I found the right pleural cavity full of yellow fluid, and the pleura puckered and thickened. Both lungs contained miliary scrofulous deposits, and much carbonaceous matter on their surfaces; the latter was quite prominent in places, mapping out the lobules. The heart was natural. On examining the abdo- men much yellow fluid existed in the general peritoneal cavity, and the intestines were of a very dark purple (almost black) colour, the various convolutions being adherent to each other by soft fibrin, and looking like the coils of a speckled snake ; their surfaces were roughened, and in places had quite a reticulated character, ov/ing to effused fibrin upon them. The great omentum was contracted and drawn up, and reduced to a small placenta-like hard mass. The peri- toneum everywhere was much thickened, and especially about the mesentery and the stomach, which was reduced much in size, and very much thickened universally by a fibrinous exudation deposited to a slight degree under the peritoneal, and to a greater degree under the mucous, surface, which was in places roughened, the various folds being almost obliterated. In places the peritoneal surface vv^as studded with white deposits. The lymphatic glands were indurated and enlarged. [99.] Case XTI.—Tumour in the abdomen, close to the brim of the pelvis, formed by scirrhus of the pylorus of the stomach, which loas enor- mously dilated. Sibylla R., Eet. 33, v/as admitted Kov. 7, 1868. She had been gradually losing flesh for nine months, and the catamenia had been A 2