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.
18/44 (page 16)
![serous flaid, and only occasionally streaked with blood. The patient gradually sank, and died November 21st. Post-mortem examination.—Pus and fibrinous material were found in the pericardial cavity, and fibrinous exudation in one of the pleural sacs. The liver was firmly and extensively adherent to the diaphragm, excepting at one part, where was a large collection of pus, surrounded by shreddy walls, formed by the adhesions. The liver contained several abscesses in the neighbourhood of the adhesions. On ex- amining them microscopically^ I found that some of the smaller ones consisted almost entirely of fatty granular matter, as if the con- tained pus had undergone fatty alteration. The preparation of part of the liver and diaphragm, showing the position of the pus contained between them exists in our Museum ; see Pathological Catalogue, Series ix. No. 250. [227.] Case XX.—Large abscess of the liver, containing a considerable collec- tion of biliary calculi, artparently set up by ulceration of tlie gall- bladder; communications between the abscess and the duodenum and bile-duct. The patient, William C-., was attending as an out-patient with jaundiced skin, and v/hilst in the v/aiting-room, July 28th, 1852, ho had a desire to empty the bowels ; and when at the water-closet died quite suddenly. Nothing further of his history is known. Post-mortem examination.—I found that the pericardial sac was dilated with clear amber-coloured fluid, and much recent fibrin in the pleural sacs, as also patches of lobular pneumonia. The heart's cavities were dilated and their walls were thickened. The root of the aorta and mitral valve-fiaps were slightly thickened, and the cerebral capil- laries were in a highly atheromatous state. On examining the abdomen, the liver was found to be enlarged, the right lobe at its under surface being very softened and of a dark livid colour, and to this part the duodenum and transverse colon were adherent: and this part of the liver and the adherent duodenum formed part of the boundaries of an abscess, whose walls were very shreddy and offensive in odour, and which, besides a quantity of dark foul pus, contained a number of polygon-shaped biliary concretions, agglomerated and retained together by inspis- sated mucus and bile, forming a mass equal to a hen's egg. This mass had evidently been formed in the gall-bladder, which had un- dergone so much ulceration that no traces of it could be found. Two rounded and ulcerated openings existed between this abscess and the interior of the duodenum, which was (as before said), attached to the duodenum, and a similar opening between the abscess and the interior of the common bile-duct, the largest of them being equal to a fourpenny-piece in diameter. The inner surface of the duodenum and gall-dact were otherwise natural. The cystic duct was natural, and](https://iiif.wellcomecollection.org/image/b21480436_0018.jp2/full/800%2C/0/default.jpg)
