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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    taken, gave relief. A small circumscribed tumour could be felt in the right hypochondriac and epigastric regions, apparently about the pylorus of the stomach. The vomiting had become almost constant, and she still passed blood by stool. In spite of remedies, she sank, and died January 18th. Post-mortem examination.—Indications of slight pleurisy existed ; otherwise nothing was noticeable in the thorax. On examining the abdomen, the omentum was found tucked up and adherent to the right lobe of the liver, and old adhesions united the upper and under surfaces of the liver to surrounding parts. The right side of the liver was towards its lower margin contracted, and very much puckered on its surface, with great thickening of its peri- toneal coat, which presented a cartilaginous appearance. On cutting into this part, several circumscribed tumours were found, varying from the size of a nut to that of an egg, contained in distinct and thickish cysts, formed from condensed areolar tissue. The cut surfaces of the tumours were of a yellowish colour, and apparently homogeneous ; their structure was elastic and firm ; in some places it was of a pinkish colour, and evidently contained vessels. The liver-tissue around the smaller tumours was congested ; the remainder of the liver was coarse and congested, but not otherwise diseased. The gall-bladder was thickened, and contained a largish calculus. The pyloric end of the stomach was adherent to the liver, and the first part of the duodenum was compressed and flattened by the tumours in the liver. The sto- mach was healthy, but the mucous membrane of the small and large bowels was very inflamed. Both kidneys were diminished in size, and mottled. Microscopical examination.—After maceration for many years in spirit, I found that the yellow deposit consisted of amorphous and granular material, along with a slight amount of fatty and occasion- ally slightly fibrillated material, and a fev/ delicate small cell-forma- tions. Where the parts had undergone softening, much fatty material was found. The surrounding fibrous structure presented the usual elements of firm fibrous tissue. [19.] Case XIX.—Tumour at tJie left of the ensiform cartilage^ evidently containing fluid^ luliich proved to he oiuing to a large collection of pus hetween the liver and the diaphragmsmctll abscesses in the liver, &c. Peter L,, set. 33, was admitted Nov. 1, 1852, in a state of great depression and destitution, complaining of having suffered much from shivering, which was treated as ague, and from pain all over, but chiefly on the right side. There was a small rounded tumour at the left edge of the ensiform cartilage, which bore handling well and evi- dently contained fluid, the seat of which was thought to be the sub- stance of the liver. Vomiting and great depression, with increased quickness of pulse, came on: and the enlargement was opened by trocar; when above two pints of pus were evacuated, unmingled with