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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    Post-mortem examination.—The whole of the subperitoneal areolar tissue (visceral and parietal) was thickly studded with miliary tubercles. The large omentum was very much thickened by a similar deposit, and being tucked formed a large tumour situated to the right of the umbi- 1 Gas, on a level with it. This tumour was united by recently effused fior.n to the anterior wall of the abdomen ; and the various coils of intestine were similarly united. No ulcerations of intestine existed. Here and there was a small quantity of serum between folds of intestine, which had not been united, forming a species of encysted dropsy. The left lung at its apex contained numbers of miliary tubercles and a vomica. Eight lung and heart healthy. [54.] Case II.—Distension hy serum of the smaller omental cavity^ which was converted into a shut sac hy closure of the foramen of Winslow. Peculiar deposit beneath the peritoneum. John I., set. 39, was admitted March 24th, 1841, and died August 26th. No history exists. Post-mortem examination.—The peritoneum of the whole of the intestine, liver, and other organs, and also that lining the abdominal walls, was covered by a thick layer of fibrin, which could be scraped off; also beneath the peritoneum of the bowels and parietes a quantity of black material was deposited. The upper cavity of the omentum had been converted into a shut sac by a false membrane which blocked up the foramen of Winslow ; and the cavity of this sac contained a quantity of straw-coloured serum. The liver, spleen, and kidneys were much diseased. The left ventricle of the heart was much thickened ; and much dis- ease of the mitral valve and oedema of the legs, with fluid in the pleural and pericardial sacs, existed. [147.] Case III.—Large mass occup)ying the centre of the abdomen, formed by hydatid cysts connected with the omenta. Cavity, lined by fibrin, and containing purident fluid, formed by breaking down of these cysts. Purulent deposits in the liver ; pus in the portal vein. Josiah S., set. 38, was admitted Jan. 30, 1850. For many years he had not been quite well, and also had been getting large in the abdo- men ; but on the whole enjoyed fair health, until one week before ad- mission, when he experienced severe pain in the region of the liver, epigastrium, and right shoulder. He had several times had rigors. When admitted, the skin was brownish yellow, and the abdomen was very large and hard, with rounded nodulated tumours, to be felt through the parietes, almost over its whole surface. Extensive dul- ness, continuous with that of the liver, extended very high into the chest, and passed across the umbilicus to the left iliac region, but no- where could any edge be discovered ; and though there was much softness, no positive fluctuation could be detected. There was some resonance in the left hypochondriac and iliac regions. The urine was