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?]
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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![coats. The small intestines were matted together in the neighbourhood. The other parts of the large bowel were natural. [355.] Case XVII.—Abscess between the liver and the colon^ communicating with the interior of the gall-hladder (luhich loas full of gall-stones')^ by seve- ral perforations through its lualls. Ulceration of the duodenum and transverse colon. Mark P., set, 64, was admitted November 24, 1858, in a state of great prostration following an attack of gall-stones. It seemed that he had for twenty years been subject to what were called bilious attacks, and in 1851 had had jaundice. Eighteen days before ad- mission he had suddenly been seized with pain in the epigastrium on the right side, which continued five days; and on admission pressure over the right hypochondriac region gave pain. The pulse was weak ; the tongue red and ulcerated, as if from mercury. When he came in, he had a carbuncle at the angle of the right jaw and purulent dis- charge from the right ear. The carbuncle was opened. For a time he improved ; but muttering delirium came on (such as, it was reported, he was wont to have during his bilious attacks), and he sank, and died December 12th. Post-mortem examination.—The contents of the thorax and cranium were natural. On opening the abdomen, all the viscera were found matted together. The gall-bladder was full of gall-stones, and numerous perforations of the bladder had taken place. Communi- cating with these perforations was an abscess, lying between the liver and the hepatic flexure of the colon; the contained pus being very yellow owing to admixture of bile. The common bile-duct was natural and pervious. The duodenum was much thickened, and presented a deep ulcer close to its commencement at the pylorus ; another similar ulcer Avas found at the commencement of the transverse colon ; and the intestine was congested in patches at other parts. No cause was found for these ulcerations. The kidneys were healthy, excepting a large cyst in one of them. A large pendulous tumour, having the structure of the prostate gland, projected from the upper part of that body into the neck of the bladder. [295.] Case XVIII.—Tumour in the hypochondriac and epigastric regions^ caused by an enlarged liver^ occupied by masses of a xyeculicLr fibroid nature. Sarah G-., set. 50, was admitted December 25, 1844. She had been subject to spasmodic cough for seven years, which had latterly become worse. About eight months before admission, she had constant pain at the epigastrium, accompanied by frequent nausea, occasional sickness, loss of appetite, and great thirst. She now noticed the stools to be occasionally very black and fluid, and passed at times with pain. On admission, there was a perpetual sense of sinking at the epigastrium, and gnawing pain about an hour after eating, though food, when first](https://iiif.wellcomecollection.org/image/b21480436_0016.jp2/full/800%2C/0/default.jpg)
