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.

    15/44 (page 13)
    The preparation of the invaginated intestine, with the polypus, is described in our Pathological Catalogue. (See Series ix. No. 177.)^^ [207.] Case XVI.—Tumour above the brim of the pelvis on the left side, the re- sult of suppuration outside the peritoneum following ulceration of the sigmoid flexure of the colon. Phthisis ; disease of the kidneys, Michael M'D,, set. 50, was admitted December 21, 1866. He had had infiamm_ation of the testicle and gonorrhoea two years before ad- mission, and some scrofulous abscesses connected with the left side of the chest. For twelve days before admission he had had pain in the left groin, and for two days he had great pain in em^ptying the bladder. There had been no vomiting or constipation. A hard mass was found lying above the left brim of the pelvis, apparently connected with the bowel, which was slightly diminished by evacuation of the bowels, but no pus existed in the motions. The swelling increased (in spite of iodine lotion), and extended towards the right side of the body, and became very tender. Afterwards the pulse became very weak, much weakness was complained of, and rigors. The urine contained albu- men and pus, and from the first was passed vfith pain. Vomiting came on and profuse sweating, and deficient breathing with moist sounds was found in the left lung. It appeared as if he was suffering from pysemia. He became weaker and less conscious, the motions were passed involuntarily, and he sank, and died December 27th. Post-mortem examination.—A scrofulous abscess was found con- nected with the first rib and its cartilage on the right side. Both lungs contained scrofulous deposit at their apices, and traces of recent and old pleurisy existed. Among the pleuritic adhesions low down on the left, a collection of thin purulent fluid was found. The liver was cirrhosed, and the kidneys granular, with diminished' cortex. A firm cartilaginous stricture of the urethra existed, and the bladder contained purulent fluid. The tumour in the left groin, which was a collection of pus, extended in front of Poupart's ligament, along the crest of the ilium, and into the pelvis external to the peritoneum. The sigmoid flexure of the colon was adherent to the abdominal pa- rietes for a considerable length ; and at one spot, of about the size of a shilling, the coats of the bowel had ulcerated through, and the abdo- minal Vi^alls formed the outer wall of the bowel. From this perforation the suppuration appeared to have arisen. The edges of the ulcer were rounded, and the mucous membrane was more destroyed than the other * No. 178 in the same series is another preparation of a large fibrous tumour, which was removed after death from the small intestine of a patient set. 34, who suffered from constipation and violent vomiting, and was pre- sented by Dr. Ogier Ward. It was attached by a pedicle to the mesenteric border of the small intestine, and the border of the bowel was invaginated, but not at a part connected with the morbid growth. When first examined the tumour was of a livid colour, and plentifully supplied with blood-vessels.