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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    and its superficial veins enlarged. Early in April he had an attack of lung-congestion, and he sank, and died April 15th. Post-mortem examination. — A very large ulcerating cavity was found within the abdominal cavity, surrounded by a mass of in- testines adherent to each other and to the abdominal walls. This ulcerating cavity was evidently of a carcinomatous character, and formed chiefly at the expense of the csecum, and into it opened laterally the small intestine and other parts of the large bowel. The stomach, which was adherent to the mass, also communicated with it at its pyloric end. The liver contained carcinomatous deposits. The lumbar glands were not enlarged. Adhesions and fluid were found in the pleural sacs, in addition to collapse of one lung. The heart was small, and the mitral value slightly thickened. [112.] Case XV. — Bo-called polypus^ or pedunculated fibrous tumour grow- ing from the inner surface of the small intestine, causing invagination of the hoivelsj and death. Thomas G-., set. 46, was admitted August 13, 1845. He had been ill since Easter with pain in the abdomen, attended at first by violent constipation of eight days' duration. Since then almost constant diar- rhoea had existed. For a few days before admission the pain had been unusually severe, and rigors had existed. There was loss of sleep and much emaciation. He had been actively treated by leeches, blisters, &c. On admission, the abdomen was tympanitic and painful on pres- sure, chiefly at lower part, and there was a catching respiration, appa- rently from pain. There was some expectoration, but nothing wrong about the chest was indicated by the stethoscope. The diarrhoea for a time gave way under the use of chalk and opium, and occasional doses of castor-oil. On the 25th he was suddenly taken with excessive and more extended pain, and v^^ith rigors, vomiting, and dyspnoea. In spite of remedies, the pain continued, and the tongue became dry and brown. He sank, and died August 30th. Post-mortem examination. — Extensive indications of serous in- flammation and lymph and fluid of a fsecal odour in the peritoneal sac were found, and in the left lumbar region, on removing cer- tain adhesions, an invagination of the small intestine was found to have occurred, the bowel above the invagination being very much dilated, and below it slightly contracted. In the immediate neigh- bourhood of the invagination the coats of the intestine were very soft, and gave way to a small extent when slightly pulled upon, thus allowing of the escape of a portion of the contents of the gut. On laying open the portion of gut below the invagination, a large pendulous growth was found in the cavity of the gut, and connected by a broad pedicle to the extremity of the invaginated portion of in- testine. The body of the polypus, of a pyriform shape (see woodcut, p. 356), was about 2f in. long, and at its broadest part about 1^ in. in width; its pedicle about the size of the middle finger, 1^ in. long.